KORYSSA LEEANNE DAVIS

ROSEBURG, OR
NPI1659153906
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
(Licence: OR  109909)
Enumeration Date2023-10-19
Last Update Date2023-10-19
Business Address
KORYSSA LEEANNE DAVIS THW
150 NE KENNETH FORD DR
ROSEBURG, OR 97470-1042
Phone number: 541-672-9596
Mailing Address
KORYSSA LEEANNE DAVIS THW
150 NE KENNETH FORD DR
ROSEBURG, OR 97470-1042
Phone number:
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