Individual
MARLENA V HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 W STEWART AVE, #1, MEDFORD, OR 97501
(541) 261-8061
Mailing address
348 RED BLANKET RD, PROSPECT, OR 97536-9720
(458) 225-0214
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/27/2021
Last updated
12/27/2021
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