Individual
ELYSIA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1412 SW 43RD ST STE 140, RENTON, WA 98057-4803
(425) 264-0750
Mailing address
131 170TH ST E APT 2, SPANAWAY, WA 98387-4933
(206) 371-5531
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/03/2022
Last updated
04/03/2022
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