Individual
DERRIC L MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
320 WASHINGTON BLVD, ALGONA, WA 98001-8502
(206) 595-1757
Mailing address
320 WASHINGTON BLVD, ALGONA, WA 98001-8502
(206) 595-1757
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/23/2021
Last updated
10/23/2021
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