Individual
JODY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 COOKS HILL RD, CENTRALIA, WA 98531-9073
(360) 736-2889
(360) 736-3136
Mailing address
1900 COOKS HILL RD, CENTRALIA, WA 98531-9073
(360) 736-2889
(360) 736-3136
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00081460
WA
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
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