Individual
ELLA MARIE MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.V.N.,B.B.A.
Contact information
Practice address
631 CRESENT DR, DESOTO, TX 75115-8017
(469) 235-2390
Mailing address
631 CRESENT DR, DESOTO, TX 75115-8017
(469) 235-2390
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/24/2014
Last updated
06/13/2019
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