Individual
LISA CANDICE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCA
Contact information
Practice address
153 W LAKE MEAD PKWY STE 1220, HENDERSON, NV 89015-7046
(702) 566-2433
Mailing address
153 W LAKE MEAD PKWY STE 1220, HENDERSON, NV 89015-7046
(702) 566-2433
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346604428
—
NV
Enumeration date
04/20/2021
Last updated
04/20/2021
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