Individual
MRS. KATHLEEN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2141 W PROSPECT RD, ASHTABULA, OH 44004-6439
(440) 466-7815
Mailing address
PO BOX 281, AUSTINBURG, OH 44010-0281
(440) 466-7815
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
001138
OH
Other
Enumeration date
02/18/2014
Last updated
02/18/2014
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