Individual
STACEY MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMA
Contact information
Practice address
2250 HICKORY RD, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
115 W 20TH ST, WILMINGTON, DE 19802-4806
(302) 655-7178
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
564244
DE
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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