Individual
ANGEL MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNIM
Contact information
Practice address
6174 MIRE HWY, CHURCH POINT, LA 70525-5001
(337) 319-5234
Mailing address
6174 MIRE HWY, CHURCH POINT, LA 70525-5001
(337) 319-5234
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
3587
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3587
CNIM
—
Enumeration date
11/03/2017
Last updated
11/03/2017
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