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Individual

MS. ANDREA NICHOLE MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AT/C, AT/L

Contact information

Practice address
4606 BRIDGEPORT WAY W, #C, UNIVERSITY PLACE, WA 98466-4200
(253) 565-3551
(253) 565-4535
Mailing address
4606 BRIDGEPORT WAY W, #C, UNIVERSITY PLACE, WA 98466-4200
(253) 565-3551
(253) 565-4535

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A1 60066953
WA

Other

Enumeration date
07/22/2010
Last updated
07/22/2010
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