LEATIVA TUANEI NICHOLAS

PORTLAND, OR
NPI1780355636
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
Enumeration Date2021-09-21
Last Update Date2021-09-21
Business Address
LEATIVA TUANEI NICHOLAS
5107 N MICHIGAN AVE
PORTLAND, OR 97217-2516
Phone number: 503-750-3501
Mailing Address
LEATIVA TUANEI NICHOLAS
5107 N MICHIGAN AVE
PORTLAND, OR 97217-2516
Phone number: 503-750-3501