SearchCalifornia1041C0700X

Sandra Miller

NPI 1639883416 · on the registry since 2023 · sole proprietor

Practice

Address
15320 Lakeshore Dr.
Clearlake, CA 95422
Phone
(707) 995-4577
Fax
(707) 995-4560

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-01-06

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