Individual
KIMBERLY M MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DSP
Contact information
Practice address
421 S ELK ST, HEBRON, ND 58638-7003
(170) 130-1173
Mailing address
421 S ELK ST, HEBRON, ND 58638-7003
(170) 130-1173
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
1479718
ND
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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