DUSTY HOLLER

CORVALLIS, OR
NPI1841584240
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy3747A0650X Technician, Attendant Care Provider
Enumeration Date2011-06-02
Last Update Date2012-01-13
Business Address
-- DUSTY HOLLER
557 NW MONROE AVE
CORVALLIS, OR 97330-4721
Phone number: 541-766-3540
Mailing Address
-- DUSTY HOLLER
32554 BELLINGER SCALE RD
LEBANON, OR 97355-9412
Phone number: