Individual
JACQUELINE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1033 DEVLAC GRV, BOWLING GREEN, OH 43402-4501
(419) 352-6460
(419) 352-3407
Mailing address
1033 DEVLAC GRV, BOWLING GREEN, OH 43402-4501
(419) 352-6460
(419) 352-3407
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN076822
OH
Other
Enumeration date
04/15/2016
Last updated
04/15/2016
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