Individual
LANA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15130 W DOUBLE TREE WAY, SURPRISE, AZ 85374-8569
(623) 537-9977
Mailing address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/29/2019
Last updated
08/29/2019
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