Individual
MRS. LAURI DIANE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
611 N WAUGH RD, MOUNT VERNON, WA 98273-9470
(360) 428-6128
(360) 428-6159
Mailing address
611 N WAUGH RD, MOUNT VERNON, WA 98273-9470
(360) 428-6128
(360) 428-6159
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00099224
WA
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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