Individual
JUSTIN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
855 N STEPHANIE ST UNIT 1124, HENDERSON, NV 89014-3084
(702) 858-2723
Mailing address
855 N STEPHANIE ST UNIT 1124, HENDERSON, NV 89014-3084
(702) 858-2723
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0506393
NV
Other
Enumeration date
01/22/2016
Last updated
01/22/2016
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