Individual
MRS. MERCEDES GALLARDO ROCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1525 W 12TH ST, THE DALLES, OR 97058-3612
(541) 980-5497
Mailing address
1525 W 12TH ST, THE DALLES, OR 97058-3612
(541) 980-5497
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
THW000110520.
OR
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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