Individual
MS. JULIE R. MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
603 HUNT AVE, STE A, SUMNER, WA 98390-1117
(253) 230-5723
(253) 826-0511
Mailing address
20825 STATE ROUTE 410 E # 260, BONNEY LAKE, WA 98391-6301
(253) 230-5723
(253) 826-0511
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00014834
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0144672
DEPT OF LABOR & INDUSTRY
WA
01
—
201396144259
PREMERA BLUE CROSS
WA
01
—
5362MI
REGENCE BLUE SHIELD
WA
Enumeration date
03/08/2007
Last updated
07/08/2007
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