Individual
JOLENE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5555 GROSSMONT CENTER DR, LA MESA, CA 91942-3019
(858) 531-1528
Mailing address
5555 GROSSMONT CENTER DR, LA MESA, CA 91942-3019
(858) 531-1528
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20A11900
CA
207R00000X
Internal Medicine Physician
20A11900
CA
Other
Enumeration date
09/15/2011
Last updated
08/01/2013
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