Individual
ANISHA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6189 MAYFIELD RD STE 201, CLEVELAND, OH 44124-3220
(440) 565-7819
Mailing address
904 E 214TH ST, EUCLID, OH 44119-2420
(216) 254-2570
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
133957
OH
Other
Enumeration date
06/09/2015
Last updated
06/09/2015
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