Mandy Julianna Rose Storm

NPI #1043017205 in Salem, Oregon

Provider Information

NPI Number: 1043017205
Entity Type: Individual
Name: Mandy Julianna Rose Storm
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Feb 26, 2025
Last Updated: Feb 26, 2025

Practice Location

Address: 435 LANCASTER DR NE
City: Salem
State: Oregon
ZIP Code: 97301-4729
Phone: (503) 585-6388

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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