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Deidre A Miller, MA
Student in an Organized Health Care Education/Training Program in Concord, California
NPI 1467941039

Deidre A Miller is a Student in an Organized Health Care Education/Training Program based in Petaluma, CA. Deidre A Miller practices in Concord, CA and has the professional credentials of MA. The NPI Number for Deidre A Miller is 1467941039 and holds a License No. (California).

The current practice location address for Deidre A Miller is 2425 Bisso Lane, Concord, CA and can be reached out via phone at 925-521-5767 and via fax at 925-656-5662.

Location: 2425 Bisso Lane, Concord, CA, 94954
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467941039
Provider Name
Deidre A Miller
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
2425 Bisso Lane, Concord, CA, 94954
Phone Number
925-521-5767
Fax Number
925-656-5662
Provider Enumeration Date
05/09/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
390200000X 01 MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
2425 Bisso Lane
City
Concord
State
California
Zip
94520
Phone Number
925-521-5767
Fax Number
925-656-5662
person
Provider Business Mailing Address Details
Address
2425 Bisso Lane
City
Concord
State
California
Zip
94520
Phone Number
925-521-5767
Fax Number
925-656-5662
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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