Individual
JUDITH CZERNIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1215 SW G ST, GRANTS PASS, OR 97526-2544
(541) 476-2373
(541) 476-1526
Mailing address
1215 SW G ST, GRANTS PASS, OR 97526-2544
(541) 476-2373
(541) 476-1526
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201508195RN
OR
Other
Enumeration date
12/13/2016
Last updated
12/13/2016
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