SOPHIA KENNEN GIACOMELLI

MEDFORD, OR
NPI1124736764
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: OR  10048417)
Enumeration Date2022-11-14
Last Update Date2025-10-07
Business Address
Ms. SOPHIA KENNEN GIACOMELLI
3617 S PACIFIC HWY
MEDFORD, OR 97501-8957
Phone number: 541-535-6239
Mailing Address
Ms. SOPHIA KENNEN GIACOMELLI
931 CHEVY WAY
MEDFORD, OR 97504-4127
Phone number: