Individual
SAMANTHA MARIE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 S BROADWAY STE 18, MINOT, ND 58701-4667
(701) 578-8872
Mailing address
1015 S BROADWAY STE 18, MINOT, ND 58701-4667
(701) 578-8872
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
647
ND
247200000X
Other Technician
—
ND
Other
Enumeration date
08/14/2024
Last updated
03/05/2025
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