Individual
ASHLEY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
913 POWELL ST, WILDWOOD, FL 34785-3108
(352) 330-0363
Mailing address
913 POWELL ST, WILDWOOD, FL 34785-3108
(352) 330-0363
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
233367
FL
Other
Enumeration date
12/07/2013
Last updated
12/09/2013
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