Individual
GRACE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, PHN
Contact information
Practice address
805 4TH ST, PASO ROBLES, CA 93446
(805) 704-7701
Mailing address
805 4TH ST, PASO ROBLES, CA 93446
(805) 704-7701
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
562131
CA
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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