Individual
VANESSA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AT, ATC
Contact information
Practice address
3616 47TH ST, HAMILTON, MI 49419-9723
(269) 370-3529
Mailing address
3616 47TH ST, HAMILTON, MI 49419-9723
(269) 370-3529
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601000772
MI
Other
Enumeration date
05/25/2018
Last updated
05/25/2018
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