Individual
VICTORY L WEBBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1036 SE DOUGLAS AVE RM 221, ROSEBURG, OR 97470-3301
(540) 440-3677
Mailing address
1036 SE DOUGLAS AVE RM 221, ROSEBURG, OR 97470-3301
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
04/26/2018
Last updated
04/26/2018
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