NICHOLE RENNE MATZ

ROSEBURG, OR
NPI1609288182
Former NameNICHOLE RENNE METTA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2014-06-02
Last Update Date2019-05-16
Business Address
NICHOLE RENNE MATZ BS
621 W MADRONE ST
ROSEBURG, OR 97470-3090
Phone number: 541-672-2691
Mailing Address
NICHOLE RENNE MATZ BS
272 MEDICAL LOOP SUITE E
ROSEBURG, OR 97471
Phone number: 541-440-3532