Individual
DUSTIN LOU MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1481 WINDSOR DR, SAN BERNARDINO, CA 92404-5416
(909) 361-6472
(909) 203-7403
Mailing address
17847 PINE AVE, FONTANA, CA 92335-7300
(714) 363-2355
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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