Individual
DAYLENE NICOLE PADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSS
Contact information
Practice address
1916 HOMEVIEW DR APT 8, MEDFORD, OR 97501-3388
(541) 951-2575
Mailing address
3397 DELTA WATERS RD, MEDFORD, OR 97504-5852
(541) 772-4648
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
112156
OR
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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