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Patty Macisaac

NPI 1801447230 · on the registry since 2019 · sole proprietor

Practice

Address
3221 Oak Farm Lane
Santa Rosa, CA 95401
Phone
(530) 949-5717

Registry record

Primary taxonomy
3747A0650X
3747A0650X
Also registered as
3747A0650X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-09-26

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