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Individual

JASMINE MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4129 BURNING RIDGE CT, WOODBRIDGE, VA 22192-6635
(703) 627-4236
Mailing address
4129 BURNING RIDGE CT, WOODBRIDGE, VA 22192-6635

Taxonomy

Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary

Other

Enumeration date
11/16/2013
Last updated
11/16/2013
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