Ella Marie Miles, L.V.N.,B.B.A.

NPI #1750708152 in Desoto, Texas

Provider Information

NPI Number: 1750708152
Entity Type: Individual
Name: Ella Marie Miles, L.V.N.,B.B.A.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Health Worker
Credential: L.V.N.,B.B.A.
Enumeration Date: Mar 24, 2014
Last Updated: Jun 13, 2019

Practice Location

Address: 631 CRESENT DR
City: Desoto
State: Texas
ZIP Code: 75115-8017
Phone: (469) 235-2390

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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