Individual
MS. MARY REBECCA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3851 ROSECRANS ST, SAN DIEGO, CA 92110-3115
(619) 894-4936
Mailing address
4420 ILLINOIS ST, SAN DIEGO, CA 92116-4308
Taxonomy
Speciality
Code
Description
License number
State
163WP0218X
Pediatric Oncology Registered Nurse
Primary
95205359
CA
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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