Individual
MYRANDA L MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
183 14TH NW, LINTON, IN 47441-6691
(812) 798-1880
Mailing address
PO BOX 42, LINTON, IN 47441-0042
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
27075896A
IN
Other
Enumeration date
05/26/2020
Last updated
05/26/2020
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