Individual
MS. CONSTANCE JEAN STREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1270 KOT-NUM RD, WARM SPRINGS, OR 97761
(541) 553-1196
(541) 553-1130
Mailing address
191 NE 11TH ST, MADRAS, OR 97741-1832
(541) 815-2378
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
—
OR
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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