Individual
JENELL ANNE ZAMORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
610 SUNSET DR, LA GRANDE, OR 97850-1269
(541) 963-1437
Mailing address
62435 BUCHANAN LN, LA GRANDE, OR 97850-5204
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12297
OR
Other
Enumeration date
12/14/2017
Last updated
12/14/2017
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