Individual
DULCE ROSARIO NICOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 LIBERTY ST SE, SALEM, OR 97302-4345
(503) 951-6280
(503) 468-3130
Mailing address
1515 LIBERTY ST SE, SALEM, OR 97302-4345
(503) 951-6280
(503) 468-3130
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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