Individual
HEATHER JESSICA FLORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
277 LITTLE PHEASANT LN, ROSEBURG, OR 97470-9325
(541) 430-8544
Mailing address
277 LITTLE PHEASANT LN, ROSEBURG, OR 97470-9325
(541) 430-8544
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201911166LPN
OR
Other
Enumeration date
08/13/2021
Last updated
08/13/2021
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