Individual
GRACIELA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
420 W ROWLAND ST, COVINA, CA 91723-2943
(626) 331-6411
(626) 251-1560
Mailing address
602 N EUCLID AVE, ONTARIO, CA 91762-3224
(909) 391-3423
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
63709531206
UT
363A00000X
Physician Assistant
Primary
PA20400
CA
Other
Enumeration date
12/28/2006
Last updated
12/15/2021
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