Most Relevant Information
Provider Data
| NPI Number: | 1003692039 |
| Provider Name: | JESSICA MILLER |
| Entity Type: | Individual |
| Taxonomy Code: | 171400000X |
| Specialty: | Health & Wellness Coach |
| License Number: | 1220792731 |
Most Important Dates
| Enumeration Date: | 09/06/2023 |
| Last Updated: | 09/07/2023 |
Provider Practice Location
15630 N PRESTON HWY
BRUCETON MILLS
WV
265257036
Practice Location Phone/Fax
| Phone: | 3043797000 |
| Fax: |
Provider Mailing Location
15630 N PRESTON HWY
BRUCETON MILLS
WV
265257036
Provider Mailing Phone/Fax
| Phone: | 3043797000 |
| Fax: |