Individual
MRS. MARIE VICTORIA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7654 THORNTON AVE, NEWARK, CA 94560-2834
(415) 221-4810
Mailing address
7654 THORNTON AVE, NEWARK, CA 94560-2834
(415) 221-4810
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
994183
CA
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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