Individual
STEPHANIE HEUMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2346 SPRINGBROOK RD, MEDFORD, OR 97504-1715
(541) 777-1323
Mailing address
2346 SPRINGBROOK RD, MEDFORD, OR 97504-1715
(541) 777-1323
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
200630096LPN
OR
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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