Individual
JAMESETTA KAIDDY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1104 JEFFERSON PL, BELLINGHAM, MA 02019-1368
(702) 960-8706
Mailing address
1104 JEFFERSON PL, BELLINGHAM, MA 02019-1368
(702) 960-8706
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
100678
MA
3747P1801X
Personal Care Attendant
100678
ND
Other
Enumeration date
01/30/2023
Last updated
12/12/2024
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