Theodore Miley JR., LPN
NPI #1699358812 in North Wilkesboro, North Carolina
Provider Information
- NPI Number
- 1699358812
- Entity Type
- Individual
- Name
- Theodore Miley JR., LPN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- May 5, 2021
- Last Updated
- May 5, 2021
Practice Location
- Address
- 200 NORTHVIEW PLZ
- City
- North Wilkesboro
- State
- North Carolina
- ZIP Code
- 28659-3173
- Phone
- (336) 818-0607
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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