Individual
SOFIA B KANNIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
799 LONG ST, SWEET HOME, OR 97386-3304
(541) 367-3888
(541) 367-2407
Mailing address
1312 WALLACE RD NW APT 17, SALEM, OR 97304-3079
(971) 770-8664
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
06/13/2017
Last updated
06/13/2017
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