Individual
GIFTY MYLES-MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1317 WALKER DR, FREDERICKSBURG, VA 22401-2629
(703) 310-6765
Mailing address
1317 WALKER DR, FREDERICKSBURG, VA 22401-2629
(703) 310-6765
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002071991
VA
Other
Enumeration date
01/27/2014
Last updated
01/27/2014
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