Individual
KETZIA MAGDALENA JEANNE SHAFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
THW
Contact information
Practice address
4124 ROUND LAKE RD, KLAMATH FALLS, OR 97601-9023
(541) 591-2818
Mailing address
4124 ROUND LAKE RD, KLAMATH FALLS, OR 97601-9023
(541) 591-2818
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
110083
OR
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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