JACQUELINE JILL FUMMERTON

ROSEBURG, OR
NPI1063782357
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WC1500X Registered Nurse, Community Health
(Licence: OR  086003299RN)
Enumeration Date2012-01-04
Last Update Date2012-01-04
Business Address
-- JACQUELINE JILL FUMMERTON RN
621 W MADRONE ST
ROSEBURG, OR 97470-3090
Phone number: 541-440-3639
Mailing Address
-- JACQUELINE JILL FUMMERTON RN
621 W MADRONE ST
ROSEBURG, OR 97470-3090
Phone number: 541-440-3639