Individual
MRS. PATTI M MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1938 GRANGE AVE, RACINE, WI 53403-2329
(262) 909-4934
Mailing address
3473 OLD WOOD TRAIL, RACINE, WI 53402
(262) 909-4934
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/27/2019
Last updated
12/30/2022
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