DIANA LIZBETH SAN JUAN

SALEM, OR
NPI1487964656
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2010-10-20
Last Update Date2010-10-20
Business Address
Mrs. DIANA LIZBETH SAN JUAN QMHA
2421 LANCASTER DR NE
SALEM, OR 97305-1220
Phone number: 503-361-2720
Mailing Address
Mrs. DIANA LIZBETH SAN JUAN QMHA
189 E ELM CT
GERVAIS, OR 97026-9780
Phone number: 971-218-0951