Individual
CHELSEA BELLE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1511 INDIAN LAKES RD NE, SPARTA, MI 49345-9590
(616) 514-0073
Mailing address
1511 INDIAN LAKES RD NE, SPARTA, MI 49345-9590
(616) 514-0073
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703122651
MI
Other
Enumeration date
04/27/2018
Last updated
10/22/2019
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