ERIC PROVOST

EUREKA, CA
NPI1538052980
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy373H00000X Day Training/Habilitation Specialist
Additional Taxonomies175T00000X Peer Specialist
Enumeration Date2025-06-02
Last Update Date2025-08-05
Business Address
ERIC PROVOST
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
Mailing Address
ERIC PROVOST
574 PLEASANT AVE
EUREKA, CA 95503-6521
Phone number: 916-467-9453
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