Individual
ELIZABETH RAYLEEN TOVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8495 CRATER LAKE HWY, WHITE CITY, OR 97503-3011
(541) 826-2111
Mailing address
207 PINE LAKE DR, EAGLE POINT, OR 97524-9003
(916) 385-3881
Taxonomy
Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
Primary
202212998RN
OR
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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