Individual
MRS. VERONICA L MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
512 W 15TH ST, LAUREL, MS 39440-2845
(601) 323-7872
Mailing address
512 W 15TH ST, LAUREL, MS 39440-2845
(601) 323-7872
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
A057214
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A057214
PRIVATE PRACTICE
MS
Enumeration date
04/12/2021
Last updated
04/12/2021
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