Individual
ANDREA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2720 W MAIN ST, RAPID CITY, SD 57702-8128
(605) 791-4001
Mailing address
2720 W MAIN ST, RAPID CITY, SD 57702-8128
(605) 791-4001
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
622
NC
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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