Individual
MRS. DIANA JEAN TONNESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1005 E MAIN ST, MEDFORD, OR 97504-7448
(541) 774-7876
Mailing address
1005 E MAIN ST, MEDFORD, OR 97504-7448
(541) 774-7876
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/30/2013
Last updated
07/30/2013
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