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Simone Miller

Technician, Attendant Care Provider in Ann Arbor, MI. Individual provider (NPI-1).

NPI number1952952012
StatusActive
Last updated in NPPESSep 20, 2019

Details

NPI
1952952012
Entity type
Individual (NPI-1)
Name
Simone Miller
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 20, 2019
Last updated
Sep 20, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747A0650X Technician, Attendant Care Provider––Yes

Practice location

300 Huntington Dr
Ann Arbor, MI 48104-1820

Phone 734-352-9953

Mailing address

Po Box 972272
Ypsilanti, MI 48197-0277

Phone 734-352-9953

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