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Search › California › 106S00000X

Nicole Miller

NPI 1326640400 · on the registry since 2020

Practice

Address
2453 Grand Canal Blvd Ste A
Stockton, CA 95207
Phone
(855) 223-7123
Organisation at this address
Venice J Grant
American Genomics
Elevate Aba Solutions
Inferred from a shared address, not stated in the registry.
Clinicians at this address
357

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-07-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California