Provider Information for 1023648730
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SARA MILLET
Sex: Female
NPI: 1023648730
Last Updated: 2024-12-20
Certification Date: 2024-12-20
Certification Date: 2024-12-20
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1023648730 | ||||||||
| Enumeration Date | 2020-01-22 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 3888 NW RANDALL WAY STE 201 SILVERDALE, WA 98383-7847 United States Phone: 360-698-5883 | Fax:360-809-6002 | ||||||||
| Primary Practice Address | 3888 NW RANDALL WAY STE 201 SILVERDALE, WA 98383-7847 United States Phone: 360-698-5883 | Fax:360-809-6002 | ||||||||
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