Individual
GINA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
227 CLAY RD, SPENCER, WV 25276-6906
(304) 927-5200
(304) 927-5201
Mailing address
227 CLAY RD, SPENCER, WV 25276-6906
(304) 927-5200
(304) 927-5201
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27970
WV
Other
Enumeration date
08/11/2009
Last updated
08/11/2009
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