REGINA M ARDIANA

COOS BAY, OR
NPI1043359094
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OR  201505729NP-PP)
Enumeration Date2007-02-06
Last Update Date2020-02-03
Business Address
Mrs. REGINA M ARDIANA FNPC
1775 THOMPSON RD
COOS BAY, OR 97420
Phone number: 541-269-8111
Mailing Address
Mrs. REGINA M ARDIANA FNPC
1775 THOMPSON RD
COOS BAY, OR 97420
Phone number: 541-269-8111
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