MISS Laura Jean Mazac

NPI #1760166615 in Prineville, Oregon

Provider Information

NPI Number: 1760166615
Entity Type: Individual
Name: MISS Laura Jean Mazac
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Jun 12, 2023
Last Updated: Jun 12, 2023

Practice Location

Address: 1059 NW MADRAS HWY
City: Prineville
State: Oregon
ZIP Code: 97754-1416
Phone: (541) 323-5330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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