Michelle Dichoso Ballesteros, FOSTER CARE PROVIDER
NPI #1295573723 in Mcminnville, Oregon
Provider Information
- NPI Number
- 1295573723
- Entity Type
- Individual
- Name
- Michelle Dichoso Ballesteros, FOSTER CARE PROVIDER
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nursing Home Administrator
- Credential
- FOSTER CARE PROVIDER
- Enumeration Date
- Jul 18, 2024
- Last Updated
- Nov 15, 2024
Practice Location
- Address
- 631 SW TAFT ST
- City
- Mcminnville
- State
- Oregon
- ZIP Code
- 97128-6627
- Phone
- (971) 330-5503
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Home Administrator |
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