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Individual

MRS. GRACE DOMINIQUE MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Taxonomy

Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
761864
NY
163WH0200X
Home Health Registered Nurse
761864
NY
163WM0705X
Medical-Surgical Registered Nurse
761864
NY
164W00000X
Licensed Practical Nurse
314147
NY

Other

Enumeration date
07/24/2014
Last updated
12/01/2022
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