KERIANN ENSWORTH

MEDFORD, OR
NPI1114561925
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OR  201900725LPN)
Enumeration Date2019-11-05
Last Update Date2019-11-05
Business Address
KERIANN ENSWORTH
777 MURPHY RD
MEDFORD, OR 97504-8425
Phone number: 541-772-2763
Mailing Address
KERIANN ENSWORTH
777 MURPHY RD
MEDFORD, OR 97504-8425
Phone number: 541-772-2763