Individual
ITZEL ANDREA PEREZ ZARAGOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1307 W MAIN ST, MEDFORD, OR 97501-2936
(541) 535-6239
Mailing address
931 CHEVY WAY, MEDFORD, OR 97504-4127
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
202009938LPN
OR
Other
Enumeration date
10/27/2025
Last updated
10/30/2025
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