Individual
MS. SHERYLANNE DONNA KAY WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, EPDH, MS
Contact information
Practice address
2952 LAZY CREEK DR, MEDFORD, OR 97504-8182
(541) 841-7331
Mailing address
2952 LAZY CREEK DR, MEDFORD, OR 97504-8182
(541) 841-7331
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H5044
OR
Other
Enumeration date
11/08/2018
Last updated
11/08/2018
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