Individual
BREANNA JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
103 ROSE AVE, MEDFORD, OR 97501-2556
(541) 944-4105
Mailing address
612 GARFIELD ST, MEDFORD, OR 97501-4033
(541) 944-4105
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
OR
Other
Enumeration date
10/17/2020
Last updated
10/17/2020
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