Individual
KENNETH DEAN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
1320 N 184TH CT, SHORELINE, WA 98133-4538
(206) 291-3888
Mailing address
1320 N 184TH CT, SHORELINE, WA 98133-4538
(206) 291-3888
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
VA00021811
WA
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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