Individual
MR. JACOB PIERRE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA
Contact information
Practice address
315 S. HUDSON, SILVER CITY, NM 88061
(575) 388-4412
(575) 534-1170
Mailing address
1320 S. SOLANO,, LAS CRUCES, NM 88001
(575) 527-7900
(575) 571-4872
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18677037
—
NM
Enumeration date
06/07/2012
Last updated
03/29/2014
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