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Individual

MARIFRED HERST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NCMA

Contact information

Practice address
2073 OLYMPIC ST, SPRINGFIELD, OR 97477
(541) 682-3550
(541) 682-3551
Mailing address
1152 M ST, SPRINGFIELD, OR 97477-3239
(541) 554-9701

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
05/25/2018
Last updated
06/05/2018
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