Goldie Lee Miller
Technician, Personal Care Attendant in Madison, WV. Individual provider (NPI-1).
NPI number1962087478
StatusActive
Last updated in NPPESMar 16, 2021
Details
- NPI
- 1962087478
- Entity type
- Individual (NPI-1)
- Name
- Goldie Lee Miller
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 16, 2021
- Certification date
- Mar 16, 2021
- Last updated
- Mar 16, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
1 Avenue C Ste 109Madison, WV 25130-1100
Phone 304-369-6400
Mailing address
1 Avenue C Ste 109Madison, WV 25130-1100
Phone 304-369-6400
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