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Individual

MISS KRISTINA OLIVIA MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC, PA-C

Contact information

Practice address
1500 GALEN ST SE, WASHINGTON, DC 20020-4913
(202) 469-4699
Mailing address
4526 CAVALIER CT, WHITE PLAINS, MD 20695-4403
(757) 268-2920

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
A0000580
MD
363A00000X
Physician Assistant
Primary
PA200002324
DC

Other

Enumeration date
02/18/2014
Last updated
11/06/2025
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