Individual
HOLLY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
11741 TELEGRAPH RD., SANTE FE SPRINGS, CA 90670-3681
(562) 801-0318
Mailing address
11741 TELEGRAPH RD, SANTA FE SPRINGS, CA 90670-3681
(562) 801-0318
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT 38287
CA
Other
Enumeration date
11/08/2016
Last updated
11/08/2016
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