CHARITY M LICKFOLD

CLATSKANIE, OR
NPI1528671328
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Y00000X Clinical Exercise Physiologist
Enumeration Date2020-08-31
Last Update Date2022-02-21
Business Address
CHARITY M LICKFOLD MFP, CPT, CNC
580 NE POPLAR ST
CLATSKANIE, OR 97016-7470
Phone number: 208-704-7632
Mailing Address
CHARITY M LICKFOLD MFP, CPT, CNC
PO BOX 555
CLATSKANIE, OR 97016-0555
Phone number: 208-704-7632