Individual
LINDA HOOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
94218 TANANA LN, COQUILLE, OR 97423-7780
(541) 396-5275
Mailing address
94218 TANANA LN, COQUILLE, OR 97423-7780
(541) 396-5275
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200440184RN
OR
Other
Enumeration date
05/23/2014
Last updated
05/23/2014
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