Individual
MS. SHAREESE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
996 ROSE AVE E, SAINT PAUL, MN 55106-2627
(612) 601-6985
Mailing address
3541 LYNDALE AVE S, MINNEAPOLIS, MN 55408-4159
(612) 824-1829
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
TE97AQUI
MN
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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