Individual
DAMARIS ELIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
61482 LUCIA ST UNIT 1, BEND, OR 97702-8126
(541) 508-9875
Mailing address
61482 LUCIA ST UNIT 1, BEND, OR 97702-8126
(541) 508-9875
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
THW000106114
OR
Other
Enumeration date
03/08/2022
Last updated
03/08/2022
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