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Marina Antonova

NPI 1407746878 · on the registry since 2025

Practice

Address
2235 Mercury Way Ste 107
Santa Rosa, CA 95407
Phone
(415) 849-5700
Organisation at this address
Buckelew Programs
Buckelew Programs
Buckelew Programs
Buckelew Programs
Inferred from a shared address, not stated in the registry.
Clinicians at this address
46

Registry record

Primary taxonomy
225400000X
225400000X
Also registered as
174400000X
Sex
Female
Record last updated
2025-07-17

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