STEPHANIE DEDIANOUS

ROSEBURG, OR
NPI1750877718
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: OR  201241883RN)
Enumeration Date2018-07-02
Last Update Date2018-07-02
Business Address
STEPHANIE DEDIANOUS
621 W MADRONE ST
ROSEBURG, OR 97470-3090
Phone number: 541-492-0241
Mailing Address
STEPHANIE DEDIANOUS
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number: