Organization
REMODEL WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE ROMO (OWNER)
(949) 295-2740
Entity
Organization
Contact information
Practice address
4035 S STAGE RD, MEDFORD, OR 97501-9542
(949) 295-2740
Mailing address
1208 BEALL LN, CENTRAL POINT, OR 97502-1573
(541) 665-4414
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/22/2022
Last updated
03/23/2022
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