Individual
CLAUDIA MANCILLA-VILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1698 E MCANDREWS RD STE 300, MEDFORD, OR 97504-5590
(541) 732-7950
Mailing address
313 MORNINGSIDE ST # 300, MEDFORD, OR 97501-1544
(541) 499-2646
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
172V00000X
—
Other
Enumeration date
05/28/2019
Last updated
05/28/2019
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