Individual
MS. STEPHANIE LYNN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERTIFIED DERMA TECH
Contact information
Practice address
2564 WEST 12TH ST., ERIE, PA 16505
(814) 881-5591
Mailing address
716 NEVADA, DR., ERIE, PA 16505
(814) 456-4700
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
CERTIFICATE
CA
Other
Enumeration date
07/23/2008
Last updated
07/23/2008
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