Rosy Provino's National Provider Identifier (NPI) Details
Rosy Provino, LCSW
NPI: 1578077343
Enumeration Date: 2017-11-30
Last updated: 2017-11-30
Sole Proprietor: NO
Status: active
Postal Address: 929 KOSTER ST, EUREKA, CA
Phone:
Primary Practice Address: 720 WOOD ST, EUREKA, CA
Practice's phone: 707-268-2990