Individual
MADELINE MARIE GIANANDREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
10709 S WALTON RD, LA GRANDE, OR 97850-8490
(541) 962-7753
Mailing address
67038 HUNTER RD, SUMMERVILLE, OR 97876-8129
(541) 910-7091
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4635ATI
OR
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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