Individual
STEPHANIE LOURDES MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12040 SOUTH LAKES DRIVE, SUITE 207, GENERATIONS FAMILY PRACTICE, RESTON, VA 20191
(703) 464-0686
Mailing address
42283 RHETT DR, ASHBURN, VA 20148-5727
(530) 908-4554
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA23083
CA
Other
Enumeration date
08/02/2013
Last updated
08/01/2014
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