Shawn Lauritz Miller Sr., OWNER
Shawn Lauritz Miller Sr., OWNER is a Substance Abuse Rehabilitation Facility in Simi Valley, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2016
Practice location Address checks out
3069 Cisco CtSimi Valley, CA 93063-1809
Phone: (805) 624-7700
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Specialties & licences
| Substance Abuse Rehabilitation Facility (primary) | Taxonomy 324500000X · Licence 560051AP (CA) |
|---|
Record details
| NPI number | 1992253009 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | OWNER |
| Sole proprietor | Yes |
| NPI enumerated | September 18, 2016 |
| Last updated in NPPES | September 18, 2016 |
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