Individual
MR. DAJUAN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2904 CONTINENTAL DR, REYNOLDSBURG, OH 43068-4032
(614) 753-2206
Mailing address
2904 CONTINENTAL DR, REYNOLDSBURG, OH 43068-4032
(614) 753-2206
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
401357450212
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0382982
—
OH
Enumeration date
05/12/2021
Last updated
09/17/2021
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