Individual
SUSAN MICHELLE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36 SOUTH KINNELOA AVENUE, PASADENA, CA 91107
(626) 844-3033
(626) 844-3039
Mailing address
36 S. KINNELOA AVE., PASADENA, CA 91107
(626) 844-3033
(626) 844-3039
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
196584
CA
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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