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Contact Information

LORETTA MILLER
317 BORTOT DR
GALLUP, NM87301-4779
 Phone: 505-722-0023
 Fax: 505-722-6977
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
Indicates primary specialty

NPI Profile & details for LORETTA MILLER · (Female)

NPI # 1558747683
Status Active
Credentials
Entity Individual
Enumeration date 07/30/2015
Last updated 07/30/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • NM License # 67975739
  • NM Medicaid 67975739
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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