JOHN CALVIN GREEN-HAUDENSHILD

MEDFORD, OR
NPI1336890458
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
Additional Taxonomies374U00000X Home Health Aide
Enumeration Date2022-01-11
Last Update Date2022-01-11
Business Address
JOHN CALVIN GREEN-HAUDENSHILD
1301 W STEWART AVE UNIT 1
MEDFORD, OR 97501
Phone number: 541-261-8061
Mailing Address
JOHN CALVIN GREEN-HAUDENSHILD
112 E MAIN ST
ROGUE RIVER, OR 97537-9419
Phone number: 541-678-4263