Individual
TRINITY OKZANA LEONIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
149 S MAIN ST, PHOENIX, OR 97535-6631
(541) 535-4133
Mailing address
149 S MAIN ST, PHOENIX, OR 97535-6631
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/26/2020
Last updated
06/26/2020
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