Individual
YULIANA REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
730 BIDDLE RD, MEDFORD, OR 97504-6116
(541) 535-6239
Mailing address
931 CHEVY WAY, MEDFORD, OR 97504-4127
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
THW000111143
OR
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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