Individual
MINIE TIQUAYSHA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EMT/HEALTH CARE SPEC
Contact information
Practice address
BLDG 301 ANDREWS AVE, LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36362-5333
(334) 255-7218
(334) 222-7729
Mailing address
BLDG 301 ANDREWS AVE, LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36362-5333
(334) 255-7218
(334) 222-7729
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
B1196362
AL
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
03/28/2008
Last updated
03/28/2008
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