CANDICE MARIE MILES

BOURBONNAIS, IL
NPI1740815885
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2085U0001X Radiology, Diagnostic Ultrasound
(Licence: IN  98113)
Additional Taxonomies172A00000X Driver
(Licence: IN  5360024302)
174H00000X Health Educator
(Licence: IN  98113)
207V00000X Obstetrics & Gynecology
(Licence: IN  98113)
208000000X Pediatrics
(Licence: IN  98113)
247100000X Radiologic Technologist
(Licence: IN  98113)
2471C1101X Radiologic Technologist, Cardiovascular-Interventional Technology
(Licence: IN  98113)
2471S1302X Radiologic Technologist, Sonography
(Licence: IN  98113)
2471V0105X Radiologic Technologist, Vascular Sonography
(Licence: IN  98113)
335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier
(Licence: IN  98113)
Enumeration Date2020-03-09
Last Update Date2022-11-29
Business Address
CANDICE MARIE MILES RVT, RDCS, ARDMS, RT
475 BROWN BLVD STE 103
BOURBONNAIS, IL 60914-2325
Phone number: 815-937-7962
Mailing Address
CANDICE MARIE MILES RVT, RDCS, ARDMS, RT
365 CONESTOGA DR
CHESTERTON, IN 46304-1559
Phone number: 219-617-8218