Individual
ELIZABETH VILLAGRANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
32753 E DELANEY ST, COBURG, OR 97408-9265
(541) 514-7366
Mailing address
32753 E DELANEY ST, COBURG, OR 97408-9265
(541) 514-7366
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
200630289LPN
OR
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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