Individual
MRS. SANDRA KAY MINIHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
113 TRIPP ST, MEDFORD, OR 97504-7361
(541) 245-6181
Mailing address
2225 FAIRBANKS ST, MEDFORD, OR 97504-4778
(541) 770-7021
(541) 245-9367
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
088005086LPN
OR
Other
Enumeration date
10/08/2008
Last updated
10/08/2008
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