Individual
MARIA GUADALUPE IBOA MONTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1085 W 1ST AVE UNIT M, JUNCTION CITY, OR 97448-1029
(541) 844-4153
Mailing address
1085 W 1ST AVE UNIT M, JUNCTION CITY, OR 97448-1029
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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