Individual
JONICA DURBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 E 3RD ST STE 101, THE DALLES, OR 97058-2563
(541) 298-2101
Mailing address
401 E 3RD ST STE 101, THE DALLES, OR 97058-2563
(541) 298-2101
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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