Individual
RENAE THERESE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HLPC COSM
Contact information
Practice address
6555 WILSON MILLS RD STE 105, CLEVELAND, OH 44143-3435
(440) 461-4247
Mailing address
6555 WILSON MILLS RD STE 105, CLEVELAND, OH 44143-3435
(440) 213-1426
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
OH
Other
Enumeration date
01/04/2021
Last updated
02/08/2022
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