Individual
MRS. SHANNON CHRISTINE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1750 NEW MEXICO ST, GREEN RIVER, WY 82935-6252
(307) 871-4588
Mailing address
1750 NEW MEXICO ST, GREEN RIVER, WY 82935-6252
(307) 871-4588
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
08/22/2020
Last updated
08/22/2020
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