Individual
GRICELDA ENRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
931 CHEVY WAY, MEDFORD, OR 97504-4127
(541) 512-3132
Mailing address
931 CHEVY WAY, MEDFORD, OR 97504-4127
(541) 512-3132
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
12/28/2021
Last updated
12/28/2021
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