Individual
PEGGY MULLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29185 BLAKE DR, CORVALLIS, OR 97330-9306
(541) 745-6351
Mailing address
29185 BLAKE DR, CORVALLIS, OR 97330-9306
(541) 745-6351
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/24/2019
Last updated
09/24/2019
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