Individual
RHONDA GARCIA MONDRAGON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
590 EVELYN AVE, CRESWELL, OR 97426-9561
(541) 968-6016
Mailing address
590 EVELYN AVE, CRESWELL, OR 97426-9561
(541) 968-6016
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201507810LPN
OR
Other
Enumeration date
10/21/2015
Last updated
10/21/2015
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