Individual
JANNA REBECCA MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
309 6TH ST, QUEEN CITY, TX 75572-2295
(903) 490-1258
Mailing address
309 6TH ST, QUEEN CITY, TX 75572-2295
(903) 490-1258
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
234018
TX
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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