Individual
JENNIFER MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
949 45TH ST, OAKLAND, CA 94608-3413
(510) 843-1936
Mailing address
949 45TH ST, OAKLAND, CA 94608-3413
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN158099
CA
Other
Enumeration date
04/14/2009
Last updated
04/14/2009
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