Individual
DESIREE MARIE MADRIGAL-JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
219 42ND ST, SPRINGFIELD, OR 97478-5937
(541) 224-6987
Mailing address
1987 KELLY WAY, GRANTS PASS, OR 97527-5133
(541) 218-7600
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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