Individual
CAROL MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
402 PACIFIC AVE, BREMERTON, WA 98337-1915
(360) 328-8744
Mailing address
PO BOX 5274, BREMERTON, WA 98312-0505
(360) 328-8744
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00005137
WA
Other
Enumeration date
05/24/2010
Last updated
04/03/2014
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