Individual
DIANE L MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4220 LANE DRIVE, CHINA GROVE, TX 78263
(210) 842-1676
Mailing address
4220 LANE DR, CHINA GROVE, TX 78263-2410
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
784553
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
784553
NURSING LISCENCE
TX
Enumeration date
08/16/2017
Last updated
09/17/2024
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