Individual
MRS. BARBARA MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
254 SERENITY LN, GRANTS PASS, OR 97526-9756
(541) 474-9780
Mailing address
254 SERENITY LN, GRANTS PASS, OR 97526-9756
(541) 474-9780
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
12/30/2019
Last updated
12/30/2019
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