Individual
MS. MAIA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S. ATC
Contact information
Practice address
46-590 KAMEHAMEHA HWY, KAHUKU HIGH SCHOOL, KAHUKU, HI 96731
(808) 305-7471
Mailing address
45-163 LILIPUNA RD, KANEOHE, HI 96744-3024
(808) 954-5951
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-207
HI
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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