Individual
LETRICIA WIXSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
827 SPRING ST, MEDFORD, OR 97504-6104
(541) 732-7600
Mailing address
827 SPRING ST, MEDFORD, OR 97504-6104
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
10026396
OR
Other
Enumeration date
11/05/2025
Last updated
11/05/2025
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