Individual
JANIE MARIE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1015 PACIFIC AVE, TACOMA, WA 98402-4412
(253) 202-1539
Mailing address
7326 50TH AVE E APT B, TACOMA, WA 98443-2702
(253) 536-6324
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA9485
WA
Other
Enumeration date
05/03/2007
Last updated
05/23/2012
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