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Search › California › 101Y00000X

Garrett Ennis

NPI 1326507716 · on the registry since 2019

Practice

Address
1700 Yulupa Ave
Santa Rosa, CA 95405
Phone
(707) 544-3299
Organisation at this address
Buckelew Programs
Individual'S Now, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Sex
Male
Record last updated
2019-03-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California