Individual
BREONNA LASHAY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1228 MATILDA ST, SAINT PAUL, MN 55117-4824
(612) 600-1085
Mailing address
1228 MATILDA ST, SAINT PAUL, MN 55117-4824
(612) 600-1085
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/17/2025
Last updated
11/17/2025
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