NPI 1407496326

Myrna R Medford

Practitioner Homemaker Centralia, WA

Practice location

Address: 2428 W Reynolds Ave, Centralia, WA 98531-4554
Phone: (360) 330-9044
Fax: (360) 736-3139
Mailing address: 2850 N Country Club Rd, Tucson, AZ 85716-1910

Registered specialties

Homemaker Primary

Nursing Service Related Providers Taxonomy 376J00000X Licence 0123456789 (AZ)

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Registry record

NPI: 1407496326
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Jan 2020
Record last updated: 4 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.