Individual
KAYLA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 COPELAND AVE, MANVEL, ND 58256-4022
(701) 213-8299
Mailing address
600 COPELAND AVE, MANVEL, ND 58256-4022
(701) 213-8299
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
ND
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1470464
QSP NUMBER
ND
Enumeration date
12/30/2020
Last updated
12/30/2020
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