Individual
ANGELA MILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
606 MAIN ST, NEODESHA, KS 66757-1633
(620) 605-1381
Mailing address
606 MAIN ST, NEODESHA, KS 66757-1633
(620) 605-1381
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
IN PROCESS
KS
Other
Enumeration date
04/24/2014
Last updated
04/24/2014
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