Individual
MIKAELA DANIELLE SYMONS CUAUXINQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
627 NE EVANS ST, MCMINNVILLE, OR 97128-3923
(503) 434-7523
Mailing address
20260 SE CHERRY BLOSSOM LN, AMITY, OR 97101-2402
(971) 241-9225
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/25/2021
Last updated
02/05/2024
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