Individual
HALLIE MILLER-WINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
250 LOCUST ST, SANTA CRUZ, CA 95060-3813
(831) 427-3500
Mailing address
PO BOX 542, SANTA CRUZ, CA 95061-0542
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95324336
CA
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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