Individual
LAVERNE RENA' MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
587 WILDWOOD DR, SPARTANBURG, SC 29306-4058
(864) 205-6139
Mailing address
587 WILDWOOD DR, SPARTANBURG, SC 29306-4058
(864) 205-6139
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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