Cougarstyle LLC

NPI #1902589856 in The Dalles, Oregon

Provider Information

NPI Number
1902589856
Entity Type
Organization
Organization Name
Cougarstyle LLC
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Aug 8, 2023
Last Updated
Aug 8, 2023

Practice Location

Address
802 W 6TH ST # 100
State
Oregon
ZIP Code
97058-1102
Phone
(541) 705-5860

Authorized Official

Name
MS. DIANE LYNN WANOUS, LPN
Title
LPN/OWNER/OPERATOR
Phone
(541) 705-5860

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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