Individual
AHNNABETH MILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3514 21ST ST, LUBBOCK, TX 79410-1210
(806) 725-4357
Mailing address
10316 AVENUE X, LUBBOCK, TX 79423-4570
(806) 773-3106
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
922503
TX
Other
Enumeration date
08/11/2019
Last updated
08/11/2019
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