Individual
KARIN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3881 S WESTERN AVE, LOS ANGELES, CA 90062-1105
(323) 290-4357
Mailing address
1143 W 98TH ST, LOS ANGELES, CA 90044-3213
(323) 202-8198
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT36160
CA
Other
Enumeration date
04/24/2012
Last updated
04/24/2012
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