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Individual

MS. DARLENE T ZACARIAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1270 KOTNUM ROAD, WARM SPRINGS, OR 97761
(541) 553-1196
(541) 553-2135
Mailing address
1270 KOTNUM ROAD, P.O. BOX 1209, WARM SPRINGS, OR 97761
(541) 553-1196
(541) 553-2135

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
273855
OR
Enumeration date
06/18/2007
Last updated
07/08/2007
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