Individual
MS. SHANDELL WINGLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2352 POPLAR DR, MEDFORD, OR 97504-5297
(541) 772-2895
Mailing address
2352 POPLAR DR, MEDFORD, OR 97504-5297
(541) 772-2895
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
06/29/2007
Last updated
07/08/2007
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