Individual
MISTY JUNGLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
634 NE CLOVER AVE, ROSEBURG, OR 97470-1406
(541) 643-7046
Mailing address
634 NE CLOVER AVE, ROSEBURG, OR 97470-1406
(541) 643-7046
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201042841RN
OR
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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