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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 ProgramsInferred 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