Individual
JENNIFER BOITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1142 WILLAGILLESPIE RD, SUITE 12, EUGENE, OR 97401-2142
(541) 255-2681
Mailing address
4605 MANZANITA ST, EUGENE, OR 97405-4693
(541) 515-6989
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1047580
OR
Other
Enumeration date
08/18/2009
Last updated
08/18/2009
About Stedi
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