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Individual

MRS. NADETTE D MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
19215 WILLIAMSON AVE, SPRINGFIELD GARDENS, NY 11413-1544
(347) 307-5021
Mailing address
19215 WILLIAMSON AVE, SPRINGFIELD GARDENS, NY 11413-1544
(347) 307-5021

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
265020-1
NY
225700000X
Massage Therapist
Primary
029376-01
NY

Other

Enumeration date
01/31/2008
Last updated
07/19/2022
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