SearchCalifornia101YM0800X

Wakanda Rose, MA

NPI 1689128001 · on the registry since 2016 · sole proprietor

Practice

Address
254 Brey Rd
Santa Rosa, CA 95409
Phone
(707) 583-9304

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Sex
Female
Record last updated
2016-08-15

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