Individual
STACY ANN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
249 E TABERNACLE ST STE 100, ST GEORGE, UT 84770-2951
(435) 705-7574
Mailing address
249 E TABERNACLE ST STE 100, ST GEORGE, UT 84770-2951
(801) 373-4760
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/15/2011
Last updated
02/03/2020
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