Individual
SHEILAH ARIADNE FAIRLESS BAFUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12881 SW PENINSULA DR, TERREBONNE, OR 97760-9082
(541) 550-9939
Mailing address
12881 SW PENINSULA DR, TERREBONNE, OR 97760-9082
(541) 550-9939
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/20/2013
Last updated
09/20/2013
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