Johanna Christine Provenzano
Johanna Christine Provenzano is registered under Adult Companion in Portland, Oregon. Registered with an NPI since 2013.
- In the registry since
- 2013
Practice location Address checks out
Portland, ORNo coordinates on file. Search this address in Google Maps
Specialties & licences
| Adult Companion (primary) | Taxonomy 372600000X |
|---|
Record details
| NPI number | 1760820914 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 10, 2013 |
| Last updated in NPPES | June 10, 2013 |
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