Individual
ALYSSA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSATCLAT
Contact information
Practice address
1531 W VILLARD ST, DICKINSON, ND 58601-4651
(701) 225-7575
(701) 225-9697
Mailing address
1531 W VILLARD ST, DICKINSON, ND 58601-4651
(701) 225-7575
(701) 225-9697
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
432-11
ND
Other
Enumeration date
05/01/2012
Last updated
05/01/2012
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