PATRICK TODD THEODORE MILLER

AVONDALE, AZ
NPI1992562052
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Additional Taxonomies172V00000X Community Health Worker
Enumeration Date2024-03-04
Last Update Date2025-07-03
Business Address
PATRICK TODD THEODORE MILLER
12409 W INDIAN SCHOOL RD STE B210
AVONDALE, AZ 85392-9505
Phone number: 855-223-7123
Mailing Address
PATRICK TODD THEODORE MILLER
PO BOX 33568
SAN DIEGO, CA 92163-3568
Phone number: 855-223-7123