Individual
SHAYMAA TAHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
330 S CHILOQUIN BLVD, CHILOQUIN, OR 97624-6747
(541) 882-1487
Mailing address
3949 S 6TH ST STE A202, KLAMATH FALLS, OR 97603-4792
(541) 882-1487
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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