ZULEIKA PROVSTGAARD

OMAK, WA
NPI1902604176
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
(Licence:   CG61653497)
Additional Taxonomies101Y00000X Counselor
Enumeration Date2025-03-04
Last Update Date2025-03-04
Business Address
ZULEIKA PROVSTGAARD
1007 KOALA DR
OMAK, WA 98841-9247
Phone number: 509-826-6191
Mailing Address
ZULEIKA PROVSTGAARD
1007 KOALA DR
OMAK, WA 98841-9247
Phone number:
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