Individual
KENIKA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6313 SANDY RIDGE ST UNIT 201, N LAS VEGAS, NV 89081-3801
(559) 270-2193
Mailing address
6313 SANDY RIDGE ST UNIT 201, N LAS VEGAS, NV 89081-3801
(559) 270-2193
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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