Organization
ELECTROLYSIS AND ESTHETIC BY JOANNE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOANNE CLARKE L.E. (OWNER)
(541) 670-8401
Entity
Organization
Contact information
Practice address
723 SE MAIN ST, ROSEBURG, OR 97470-3938
(541) 670-8401
Mailing address
1183 NW RIVERFRONT DR, ROSEBURG, OR 97471-6168
(541) 670-8401
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
01/10/2020
Last updated
01/10/2020
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