Individual
MISS JEANETTE ARLENE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1944 CORLIES AVE, NEPTUNE, NJ 07753-4862
(732) 776-4558
(732) 776-4181
Mailing address
1944 CORLIES AVE, NEPTUNE, NJ 07753-4862
(732) 776-4558
(732) 776-4181
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MT00032000
NJ
Other
Enumeration date
01/14/2008
Last updated
01/14/2008
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