Individual
MRS. RONETTE C MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 126TH AVE NW, COON RAPIDS, MN 55448-1502
(612) 239-9830
Mailing address
400 126TH AVE NW, COON RAPIDS, MN 55448-1502
(612) 239-9830
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
PCA47897420150831
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A739150100
MDHS
MN
Enumeration date
09/08/2017
Last updated
07/21/2022
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