Individual
MRS. LASE VERA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
255 RACETRACK RD, MCDONOUGH, GA 30252-6834
(478) 696-2028
Mailing address
255 RACETRACK RD, MCDONOUGH, GA 30252-6834
(478) 696-2028
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/13/2019
Last updated
05/13/2019
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