Individual
JENNY LEE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
935 E RIDGECREST BLVD, RIDGECREST, CA 93555-4368
(760) 371-1411
Mailing address
2128 S DEL ROSA DR, RIDGECREST, CA 93555-7651
(760) 382-6537
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10834
CA
Other
Enumeration date
03/30/2016
Last updated
03/30/2016
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