Individual
QUENESSA C MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 RENAISSANCE CTR STE 2600, DETROIT, MI 48243
(855) 832-6727
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(855) 832-6727
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
247000000X
Health Information Technician
—
MI
247200000X
Other Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
247200000X
—
MI
Enumeration date
01/08/2018
Last updated
09/04/2019
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