Individual
MS. JENNY L MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
69175 RAMON RD, BUILDING A, CATHEDRAL CITY, CA 92234-3344
(760) 321-6776
Mailing address
41199 AETNA SPRINGS RD, INDIO, CA 92203-3073
(760) 641-4682
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA22046
CA
Other
Enumeration date
04/05/2012
Last updated
04/05/2012
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