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Mckenzie Villanueva
Contractor in Medford, Oregon
NPI 1124645163

Mckenzie Villanueva is a Contractor based in Medford, OR. Mckenzie Villanueva practices in Medford, OR. The NPI Number for Mckenzie Villanueva is 1124645163 and holds a License No. BAP-TA-10200933 (Oregon).

The current practice location address for Mckenzie Villanueva is 18 Myrtle St, Medford, OR and can be reached out via phone at 541-301-0522.

Location: 18 Myrtle St, Medford, OR, 97504-7338
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124645163
Provider Name
Mckenzie Villanueva
Credential
Provider Entity Type
Individual
Gender
Female
Address
18 Myrtle St, Medford, OR, 97504-7338
Phone Number
541-301-0522
Fax Number
Provider Enumeration Date
06/25/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
18 Myrtle St
City
Medford
State
Oregon
Zip
97504-7338
Phone Number
541-301-0522
Fax Number
person
Provider Business Mailing Address Details
Address
18 Myrtle St
City
Medford
State
Oregon
Zip
97504-7338
Phone Number
541-301-0522
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
-
Taxonomy
171W00000X
License No.
BAP-TA-10200933 ()
Definition
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
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