Individual
QUEENIE LOVE LOVE AGBAYANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
530 NW 27TH ST, CORVALLIS, OR 97330-5223
(541) 766-6835
(541) 768-6186
Mailing address
251 CATRON ST N, MONMOUTH, OR 97361-1504
(808) 205-1784
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/27/2022
Last updated
01/27/2022
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