Individual
MARY LEE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
25 1ST AVE NE, BUFFALO, MN 55313-1568
(763) 682-3005
Mailing address
560 BROOKS LAKE RD NW, COKATO, MN 55321-4635
(763) 300-9688
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
2474184
MN
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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