Most Relevant Information
Provider Data
| NPI Number: | 1003823790 |
| Provider Name: | MARY JUREE ANDERSON RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/02/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
530 SUNSET
LAKEVIEW
OR
976300032
Practice Location Phone/Fax
| Phone: | 5419470989 |
| Fax: | 5419472705 |
Provider Mailing Location
PO BOX 830
LAKEVIEW
OR
976300032
Provider Mailing Phone/Fax
| Phone: | 5419473541 |
| Fax: | 5419473546 |