Individual
EMELDA WANJIRU NANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5120 CECILIA ST SE, SALEM, OR 97306-1725
(978) 930-8119
Mailing address
5120 CECILIA ST SE, SALEM, OR 97306-1725
(978) 930-8119
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
320800000X
OR
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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