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Individual

MRS. MARIA ELENA ZACARIAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
15651 SE MCKINLEY AVE, CLACKAMAS, OR 97015-9416
(503) 753-5396
Mailing address
15651 SE MCKINLEY AVE, CLACKAMAS, OR 97015-9416

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary

Other

Enumeration date
04/12/2022
Last updated
04/12/2022
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