Individual
JOCAROL S. DRIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2459 NW STEWART PKWY, ROSEBURG, OR 97470-1596
(541) 677-2102
(541) 677-4848
Mailing address
1307 NW GARDEN ST, ROSEBURG, OR 97470-1829
(541) 672-7545
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
24384
OR
Other
Enumeration date
03/07/2007
Last updated
08/30/2008
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