Individual
SHANTESSA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPD
Contact information
Practice address
45 SILVER CUP CIR, WEST WARWICK, RI 02893-1850
(401) 999-0499
Mailing address
45 SILVER CUP CIR, WEST WARWICK, RI 02893-1850
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
201607
RI
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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