Ida Mae Miller

NPI #1174036172 in Riverview, Michigan

Provider Information

NPI Number
1174036172
Entity Type
Individual
Name
Ida Mae Miller
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician - Personal Care Attendant
Enumeration Date
Nov 13, 2017
Last Updated
Nov 13, 2017

Practice Location

Address
18731 COUNTRY CLUB CIR
ZIP Code
48193-8151
Phone
(734) 752-9530

Specialties & Taxonomy Codes

Specialty
Technician - Personal Care AttendantPersonal Care Attendant

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