Individual
DESTINY L MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3429 MERIDOCIA ST, ALTON, IL 62002
(314) 652-4100
Mailing address
VA ST LOUIS SPINAL CORD INJURY UNIT, 1 JEFFERSON BARRACKS DRIVE 128/JB, ST LOUIS, MO 63125
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/28/2019
Last updated
05/06/2020
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