Individual
JOYCE LEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3031 NE STEPHENS ST, ROSEBURG, OR 97470-6237
(541) 229-7051
Mailing address
3031 NE STEPHENS ST, ROSEBURG, OR 97470-6237
(541) 229-7051
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
107110
OR
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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