Individual
SIRAH NICOLE BRAUTIGAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2120 TABLE ROCK RD APT 23, MEDFORD, OR 97501-1458
(541) 690-0521
Mailing address
2120 TABLE ROCK RD APT 23, MEDFORD, OR 97501-1458
(541) 690-0521
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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