Individual
SUSAN REBECCA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6212 LAKE LUGANO DR, JACKSONVILLE, FL 32256-8439
(904) 608-4232
Mailing address
6212 LAKE LUGANO DR, JACKSONVILLE, FL 32256-8439
(904) 608-4232
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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