Individual
TASHINA JOLENE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
ONE INDIAN HILL ROAD, WINTERHAVEN, CA 92283
(760) 572-4156
(760) 572-4156
Mailing address
PO BOX 1368, YUMA, AZ 85366-1368
(760) 572-4156
(760) 572-2133
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA1000014001
AZ
Other
Enumeration date
02/05/2009
Last updated
02/05/2009
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