Individual
JEANNINE L GAUDREAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2411 MARTIN LUTHER KING JR BLVD, EUGENE, OR 97401-5824
(541) 682-3608
Mailing address
2411 MARTIN LUTHER KING JR BLVD, EUGENE, OR 97401-5824
(541) 682-3608
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201040599RN
OR
Other
Enumeration date
01/27/2011
Last updated
02/07/2011
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