Individual
PENELOPE LYNN WHITMIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2863 GRANITE HILL RD, GRANTS PASS, OR 97526-7743
(541) 476-6392
Mailing address
2863 GRANITE HILL RD, GRANTS PASS, OR 97526-7743
(541) 476-6392
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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