Most Relevant Information
Provider Data
| NPI Number: | 1003656042 |
| Provider Name: | JOANNA CHRISTY WATTIMENA |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/28/2024 |
| Last Updated: | 05/28/2024 |
Provider Practice Location
203 PHARMACY BLDG
CORVALLIS
OR
973318537
Practice Location Phone/Fax
| Phone: | 5417373424 |
| Fax: |
Provider Mailing Location
203 PHARMACY BLDG
CORVALLIS
OR
973318537
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |