Individual
JESSICA ELIZABETH MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 N JOHN R WOODEN DR, WEST LAFAYETTE, IN 47907-2117
(765) 494-3189
(260) 437-2743
Mailing address
16736 ABOITE RD, ROANOKE, IN 46783-9606
(260) 437-2743
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/11/2017
Last updated
12/11/2017
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