Individual
CAROLINE LAZAGA DASALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
715 SW RAMSEY AVE, GRANTS PASS, OR 97527-5500
(541) 956-4943
Mailing address
715 SW RAMSEY AVE, GRANTS PASS, OR 97527-5500
(541) 956-4943
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201143632RN
OR
Other
Enumeration date
04/02/2012
Last updated
04/02/2012
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