PEDIATRIC TLC PC

GRANTS PASS, OR
NPI1548930464
Entity TypeOrganization
Authorized ContactYVONNE MARTENIA
Owner
547-479-2411
Organization Subpart ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
Enumeration Date2021-09-14
Last Update Date2022-08-25
Business Address
PEDIATRIC TLC PC
1819 NEBRASKA AVE
GRANTS PASS, OR 97527-5701
Phone number: 541-479-2411
Mailing Address
PEDIATRIC TLC PC
1819 NEBRASKA AVE
GRANTS PASS, OR 97527-5701
Phone number: 541-479-2411
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