Individual
KATRINA LEAH KAZARIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 S MAIN ST, FORT BRAGG, CA 95437-4210
(707) 463-3300
Mailing address
215 S MAIN ST, FORT BRAGG, CA 95437-4210
(707) 463-3300
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
04/12/2021
Last updated
07/01/2025
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