Jennifer L Miller, CST Valid NPI
Individual provider · Surgical Technologist · Lafayette, IN
- NPI
- 1972812949
- Type
- Individual (Type 1)
- Primary specialty
- Surgical Technologist (Specialist/Technologist, Other)
- Specialty group
- Technologists, Technicians & Other Technical Service Providers
- Taxonomy code
- 246ZS0410X
- License number
- CERT # 122776 (IN)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2010-09-24
- Last updated
- 2010-10-22
Practice location
2600 Ferry St
Lafayette, IN 47904-3055
(765) 448-8000