Individual
LAUREL JOY MADRONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHP1 RN
Contact information
Practice address
140 S HOLLY ST, MEDFORD, OR 97501-3113
(541) 774-8200
Mailing address
140 S HOLLY ST, MEDFORD, OR 97501-3113
(541) 774-8200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
080045767RN
OR
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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