Individual
LISA MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHC
Contact information
Practice address
64881 COUNTY ROAD 1, WAKARUSA, IN 46573
(574) 370-0988
Mailing address
PO BOX 491, WAKARUSA, IN 46573-0491
(574) 370-0988
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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