Individual
WANGEL ALLAN LACBAYAN TUZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1820 NW MULHOLLAND DR, ROSEBURG, OR 97470-1945
(754) 802-7137
Mailing address
1820 NW MULHOLLAND DR, ROSEBURG, OR 97470-1945
(754) 802-7137
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
62554
OR
Other
Enumeration date
01/02/2018
Last updated
01/02/2018
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