Individual
DR. ANGELA MARIE DEDIONISIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
38 ROSSANLEY DR, MEDFORD, OR 97501
(561) 275-2020
Mailing address
38 ROSSANLEY DR, MEDFORD, OR 97501
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4383AT
OR
152W00000X
Optometrist
OEG003059
PA
Other
Enumeration date
06/28/2015
Last updated
08/17/2018
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