Individual
DANIELLE LAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2340 S 6TH ST, KLAMATH FALLS, OR 97601-4340
(541) 204-4493
Mailing address
2340 S 6TH ST, KLAMATH FALLS, OR 97601-4340
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
202004576NP-PP
OR
Other
Enumeration date
08/03/2020
Last updated
08/11/2020
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