Individual
AMY MARIE MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1787 EASY ST, MEDFORD, OR 97504-5325
(541) 840-5081
Mailing address
1787 EASY ST, MEDFORD, OR 97504-5325
(541) 840-5081
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/28/2020
Last updated
05/28/2020
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