KCY TAVERNIER

COOS BAY, OR
NPI1326707340
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2021-12-17
Last Update Date2021-12-17
Business Address
KCY TAVERNIER
377 LACLAIR ST
COOS BAY, OR 97420-4709
Phone number: 541-756-2057
Mailing Address
KCY TAVERNIER
1040 BLANCO AVE
COOS BAY, OR 97420-2869
Phone number: 541-294-8725