Individual
MRS. KAMILLE MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1230 S LONGMORE, MESA, AZ 85202-9602
(480) 281-0106
Mailing address
1230 S LONGMORE, MESA, AZ 85202-9602
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S018581
AZ
Other
Enumeration date
11/29/2011
Last updated
11/29/2011
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