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Shawn Miller, OWNER
NPI 1992253009 · on the registry since 2016 · sole proprietor
Practice
- Address
- 3069 Cisco Ct
Simi Valley, CA 93063 - Phone
- (805) 624-7700
- Organisation at this address
- Simi Valley Recovery, Llc
Set Free Drug & Alcohol Treatment Centers Of AmericaInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 324500000X
324500000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-09-18
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