Individual
TERRISHA L MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2128 W 14TH ST, JACKSONVILLE, FL 32209-4602
(904) 930-0146
Mailing address
2128 W 14TH ST, JACKSONVILLE, FL 32209-4602
(904) 930-0146
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
03/26/2018
Last updated
03/26/2018
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