Individual
MELISSA JEAN HEROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
725 WASHBURN WAY, KLAMATH FALLS, OR 97603-3648
(541) 883-1030
Mailing address
2210 N ELDORADO AVE, KLAMATH FALLS, OR 97601-6418
(541) 883-1030
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
10017513
OR
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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