Individual
DEMITRA MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5720 WINTON RD, APT 105, CINCINNATI, OH 45232-1049
(513) 787-0537
Mailing address
5720 WINTON RD, APT 105, CINCINNATI, OH 45232-1049
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.156269-M-IV
OH
Other
Enumeration date
08/10/2014
Last updated
08/10/2014
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