Individual
MS. JANET CHALENE DYSTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
625 STEVENS ST, MEDFORD, OR 97504-6719
(541) 864-1930
Mailing address
155 SARADAN LN, GRANTS PASS, OR 97527-4838
(541) 479-2045
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
3393
CA
314000000X
Skilled Nursing Facility
Primary
8343
OR
Other
Enumeration date
09/06/2008
Last updated
09/06/2008
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