Individual
ELLEN T MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
112 TANKS ST, TRENTON, SC 29847-2044
(803) 257-3175
Mailing address
112 TANKS ST, TRENTON, SC 29847-2044
(803) 257-3175
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
1559
SC
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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