MIRRANDA RENEE MANDERA

ROSEBURG, OR
NPI1093404725
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
(Licence: OR  108696)
Enumeration Date2023-05-08
Last Update Date2023-05-08
Business Address
MIRRANDA RENEE MANDERA CHW
150 NE KENNETH FORD DR
ROSEBURG, OR 97470-1042
Phone number: 541-672-9596
Mailing Address
MIRRANDA RENEE MANDERA CHW
150 NE KENNETH FORD DR
ROSEBURG, OR 97470-1042
Phone number: 541-672-9596