Provider Demographics
NPI:1336826015
Name:MILLER, SCHMEKA D (CERT HAIR LOSS SPEC)
Entity Type:Individual
Prefix:
First Name:SCHMEKA
Middle Name:D
Last Name:MILLER
Suffix:
Gender:F
Credentials:CERT HAIR LOSS SPEC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11374 VIA RANCHO SAN DIEGO UNIT E
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92019-5213
Mailing Address - Country:US
Mailing Address - Phone:619-348-1372
Mailing Address - Fax:
Practice Address - Street 1:7610 HAZARD CENTER DR STE 703-102
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-4529
Practice Address - Country:US
Practice Address - Phone:619-348-1372
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-03
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No171W00000XOther Service ProvidersContractor
No1744P3200XOther Service ProvidersSpecialistProsthetics Case Management