Individual
MIA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
73 CEDAR AVE, APT 35, LONG BRANCH, NJ 07740-5168
(800) 950-6066
Mailing address
73 CEDAR AVE, APT 35, LONG BRANCH, NJ 07740-5168
(800) 950-6066
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP05109000
NJ
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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