Individual
SHIRLEY ANN PALOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1911 HAZEL ST, MEDFORD, OR 97501
(541) 734-3953
Mailing address
1911 HAZEL AVE, MEDFORD, OR 97501-1630
(541) 772-0993
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/13/2011
Last updated
01/13/2011
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