Bianca Deris

NPI #1124486741 in Florence, Oregon

Provider Information

NPI Number: 1124486741
Entity Type: Individual
Name: Bianca Deris
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Feb 10, 2016
Last Updated: Feb 10, 2016

Practice Location

Address: 1015 PRESTWICK CT
City: Florence
State: Oregon
ZIP Code: 97439-9585
Phone: (541) 574-9570

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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