Individual
LESLIE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
910 LIBERTY ST, EL DORADO, AR 71730-4322
(870) 881-4607
Mailing address
910 LIBERTY ST, EL DORADO, AR 71730-4322
(870) 881-4607
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LO44435
AR
Other
Enumeration date
02/16/2022
Last updated
02/16/2022
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