River Lassotovitch
NPI #1164292918 in Ukiah, California
Provider Information
- NPI Number
- 1164292918
- Entity Type
- Individual
- Name
- River Lassotovitch
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Community Health Worker
- Enumeration Date
- Jan 3, 2024
- Last Updated
- Jan 3, 2024
Practice Location
- Address
- 776 S STATE ST STE 103
- City
- Ukiah
- State
- California
- ZIP Code
- 95482-5833
- Phone
- (707) 463-4915
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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