Individual
DORIAN DENISE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1510 S VINE AVE, TYLER, TX 75701-2826
(800) 805-6989
Mailing address
1510 S VINE AVE, TYLER, TX 75701-2826
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
316341
TX
Other
Enumeration date
12/28/2020
Last updated
01/03/2021
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