Individual
MICKI J MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
106 S. 7TH. ST., ARTESIA, NM 88210
(575) 317-6636
Mailing address
106 S 7TH ST, ARTESIA, NM 88210-1919
(575) 317-6636
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6777
NM
Other
Enumeration date
08/09/2012
Last updated
08/09/2012
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