Individual
MISS YOSET YARELI MANDUJANO SAUCEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
324 NW DAVIS ST, PORTLAND, OR 97209-3925
(503) 226-2203
(503) 223-4231
Mailing address
324 NW DAVIS ST, PORTLAND, OR 97209-3925
(503) 226-2203
(503) 223-4231
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201706171LPN
OR
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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