Individual
ELIJAH MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
68 LA COSTA DR, RANCHO MIRAGE, CA 92270-1611
(909) 282-6856
Mailing address
68 LA COSTA DR, RANCHO MIRAGE, CA 92270-1611
(909) 282-6856
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
7373
CA
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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