Individual
JOAQUINA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3125 WAVERLY AVE, ABILENE, TX 79602-6832
(325) 513-0522
Mailing address
3125 WAVERLY AVE, ABILENE, TX 79602-6832
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
867320
TX
Other
Enumeration date
02/26/2018
Last updated
02/26/2018
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