LARISA KRAVCHUK

KEIZER, OR
NPI1558837781
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy311ZA0620X Custodial Care Facility Adult Care Home
Enumeration Date2018-10-15
Last Update Date2018-10-15
Business Address
LARISA KRAVCHUK
805 FIR CONE DR NE
KEIZER, OR 97303-4328
Phone number: 503-463-6508
Mailing Address
LARISA KRAVCHUK
805 FIR CONE DR NE
KEIZER, OR 97303-4328
Phone number: 503-463-6508