Individual
JOHANNA HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 W STEWART AVE, MEDFORD, OR 97501-4211
(458) 246-9241
Mailing address
2534 SISKIYOU BLVD, ASHLAND, OR 97520-9513
(458) 246-9241
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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