Organization
DJMNP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARLA MILES (OWNER)
(419) 973-4820
Entity
Organization
Contact information
Practice address
3130 EXECUTIVE PKWY FL 8, TOLEDO, OH 43606-5530
(419) 973-4820
Mailing address
3101 ESTUARY PL, MAUMEE, OH 43537-9437
(419) 973-4820
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/24/2020
Last updated
01/24/2020
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