Individual
AMETHYST MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2017 HUDSON LN, MONROE, LA 71201-5705
(318) 381-8584
(877) 819-9001
Mailing address
2017 HUDSON LN, MONROE, LA 71201-5705
(318) 381-8584
(877) 819-9001
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
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