Individual
ELLEN INES MILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
432 AVIATION BLVD, SANTA ROSA, CA 95403-1069
(707) 708-0999
Mailing address
432 AVIATION BLVD, SANTA ROSA, CA 95403-1069
(707) 708-0999
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1418
CA
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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