Individual
MISS DIANA LOIS MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3615 HWY 11 NORTH, CANNON, KY 40923-0086
(606) 546-7723
(606) 546-7723
Mailing address
3615 HWY 11 NORTH, PO BOX 86, CANNON, KY 40923-0086
(606) 546-7723
(606) 546-7723
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
KY
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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