Individual
CASONDRA LEE HULTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27268 S HORNER RD, ESTACADA, OR 97023-9458
(503) 867-5581
Mailing address
27268 S HORNER RD, ESTACADA, OR 97023-9458
(503) 867-5581
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/24/2015
Last updated
06/24/2015
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