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NPI Code Detail

MEDICARE: NAKKIA MILES

MEDICARE:   NAKKIA  MILES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1246RP1900XPhlebotomy Technician

General Provider Information

NPI Number : 1841058823
Entity Type Code : Individual
Provider Name (Legal Business Name) : NAKKIA MILES
Provider Business Mailing Address
First Line : 1013 E DALLAS ST # 101
Second Line :
City : MANSFIELD
State : TX
Zip : 76063-2052
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1013 E DALLAS ST # 101
Second Line :
City : MANSFIELD
State : TX
Zip : 76063-2052
Country : US
Telephone Number : 810-505-5655
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2024
Last Update Date : 03/13/2024

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Directions to “ NAKKIA MILES ” Practice Location

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