Individual
MRS. RHONDA RENEE JACQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 2ND AVE SW STE 101, ALBANY, OR 97321-2483
(541) 967-3866
(541) 812-8807
Mailing address
PO BOX 100, ALBANY, OR 97321-0031
(541) 967-3866
(541) 812-8807
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/06/2010
Last updated
10/06/2010
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