RIVER LASSOTOVITCH

UKIAH, CA
NPI1164292918
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2024-01-03
Last Update Date2024-01-03
Business Address
RIVER LASSOTOVITCH
776 S STATE ST STE 103
UKIAH, CA 95482-5833
Phone number: 707-463-4915
Mailing Address
RIVER LASSOTOVITCH
776 S STATE ST STE 103
UKIAH, CA 95482-5833
Phone number: 707-463-4915
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