Individual
MIRANDA B MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 EL PASEO, LAKELAND, FL 33805-4521
(863) 519-0575
Mailing address
PO BOX 1559, BARTOW, FL 33831-1559
(863) 519-0575
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/30/2017
Last updated
11/30/2017
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