Individual
STEPHANIE ANNETTE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED OPTICIAN
Contact information
Practice address
1891 OAK GROVE CHURCH RD, ELLENBORO, NC 28040-7694
(919) 710-1449
Mailing address
1278 W OCEAN VIEW AVE, #3, NORFOLK, VA 23503-1118
(919) 710-1449
(757) 275-9424
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1994
NC
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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