DIANA JAYE WAMBAUGH

WARM SPRINGS, OR
NPI1366699985
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  NP 370A)
Enumeration Date2008-08-26
Last Update Date2012-12-28
Business Address
-- DIANA JAYE WAMBAUGH Nurse Practitioner
1270 KOT-NUM RD
WARM SPRINGS, OR 97761-1209
Phone number: 208-336-1836
Mailing Address
-- DIANA JAYE WAMBAUGH Nurse Practitioner
PO BOX 1209
WARM SPRINGS, OR 97761-1209
Phone number: 208-336-1836