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Individual

MISS AMY MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNA

Contact information

Practice address
212 LINCOLN AVE, SUITE # 3, CAPE CANAVERAL, FL 32920-3297
(321) 783-6098
Mailing address
212 LINCOLN AVE, SUITE # 3, CAPE CANAVERAL, FL 32920-3297
(321) 783-6098

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA94456
FL

Other

Enumeration date
12/10/2007
Last updated
12/10/2007
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