Individual
MISS STEFVANY RAE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
611 WHEATON AVE, KALAMAZOO, MI 49008-1357
(517) 513-9851
Mailing address
611 WHEATON AVE, KALAMAZOO, MI 49008-1357
(517) 513-9851
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2018
MI
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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