Elizabeth Panuco

NPI #1962883793 in Klamath Falls, Oregon

Provider Information

NPI Number: 1962883793
Entity Type: Individual
Name: Elizabeth Panuco
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Jun 17, 2015
Last Updated: Dec 21, 2019

Practice Location

Address: 121 IOWA ST
City: Klamath Falls
State: Oregon
ZIP Code: 97601-1606
Phone: (541) 883-1030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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