Individual
SHELISSIA MARIE PINCENTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1059 NW MADRAS HWY, PRINEVILLE, OR 97754-1416
(541) 233-3365
Mailing address
PO BOX 1710, PRINEVILLE, OR 97754-0880
(208) 202-9775
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/31/2023
Last updated
10/09/2023
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