Individual
MR. MICHAEL JAMES MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11224 HUNTINGRIDE CIR, SANTEE, CA 92071-4732
(619) 800-1782
Mailing address
11224 HUNTINGRIDE CIR, SANTEE, CA 92071-4732
(619) 800-1782
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C6979742
DRIVER LICENSE
CA
Enumeration date
09/24/2019
Last updated
09/24/2019
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