Individual
MARIA CADDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
615 E MAIN ST, MOLALLA, OR 97038-9169
(971) 204-2814
Mailing address
615 E MAIN ST, MOLALLA, OR 97038-9169
(971) 204-2814
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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