Individual
NONIKA DALEANN MCCALLISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1005 SE 214TH AVE, GRESHAM, OR 97030-3446
(971) 302-3354
Mailing address
1005 SE 214TH AVE, GRESHAM, OR 97030-3446
(971) 302-3354
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
201141860RN
OR
163WH0200X
Home Health Registered Nurse
RN61215528
WA
Other
Enumeration date
07/18/2011
Last updated
12/20/2023
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