Individual
DELORIS MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5303 COLUMBUS AVE, SANDUSKY, OH 44870-8330
(419) 984-0240
Mailing address
5303 COLUMBUS AVE, SANDUSKY, OH 44870-8330
(419) 984-0240
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
147213
OH
Other
Enumeration date
09/03/2014
Last updated
09/03/2014
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