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Individual

DONNA MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
480 CENTRAL AVE, PEARL HARBOR, HI 96860-4908
(808) 471-1866
Mailing address
2643 APT C CONNOR LOOP, KAILUA, HI 96734-0000
(808) 253-0930

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
058381
NC
164W00000X
Licensed Practical Nurse
Primary
15303
HI

Other

Enumeration date
01/30/2009
Last updated
01/30/2009
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