Individual
KURT MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
10884 BALL RD, GRASS VALLEY, CA 95949-6706
(530) 575-0608
Mailing address
10884 BALL RD, GRASS VALLEY, CA 95949-6706
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
814679
AZ
Other
Enumeration date
03/29/2016
Last updated
11/07/2016
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