Individual
SHANA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12760 S PARK AVE UNIT 520, RIVERTON, UT 84065-3422
(801) 382-9811
Mailing address
1132 E 800 S, SALT LAKE CITY, UT 84102-3703
(801) 352-9811
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
F25-119739
UT
Other
Enumeration date
07/10/2025
Last updated
07/10/2025
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