Individual
AGNES I MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHP-C
Contact information
Practice address
5530 MAIN STREET, PORT GRAHAM, AK 99603-5530
(907) 284-2241
(907) 284-2277
Mailing address
P.O. BOX 5530, PORT GRAHAM, AK 99603-5530
(907) 284-2241
(907) 284-2277
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
AK
Other
Enumeration date
03/19/2008
Last updated
12/13/2011
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