Individual
GLENDA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1251 NE ELM ST, PRINEVILLE, OR 97754
(541) 323-5330
Mailing address
1251 NE ELM ST, PRINEVILLE, OR 97754
(541) 323-5330
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/24/2016
Last updated
02/24/2016
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