Individual
JADA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3924598
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3924598
STATE CERTIFICATION
AZ
Enumeration date
09/25/2007
Last updated
07/09/2008
Update your record
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