Individual
DEMETRISS MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3009C W BARCELONA ST, TAMPA, FL 33629-7201
(813) 846-6700
Mailing address
3009C W BARCELONA ST, TAMPA, FL 33629-7201
(813) 846-6700
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA28199
FL
Other
Enumeration date
09/22/2008
Last updated
09/22/2008
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