Individual
AMAND BETH MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14332 FOXCROFT RD, RALEIGH, NC 27614-6646
(330) 730-9862
Mailing address
14332 FOXCROFT RD, RALEIGH, NC 27614-6646
(330) 730-9862
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT3611
NC
Other
Enumeration date
03/14/2018
Last updated
03/14/2018
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