Doctor Name: | JADA MILLER |
NPI Number: | 1649466541 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ED.S. |
License Number: | 3924598 |
Business Practice Address: | 2122 S 114th Ln Avondale, AZ - 853239184 |
Business Phone Number: | 6237032834 |
Business Fax Number: | 6234781863 |
Mailing Address: | 2122 S 114th Ln, AVONDALE |
State: | AZ |
Postal Code: | 853239184 |
Phone Number: | 6237032834 |
Fax Number: | 6234781863 |
NPI Enumeration Date: | 09/25/2007 |
NPI Last Update Date: | 07/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 3924598 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |