Individual
DR. JEFFREY YATES HERGENRATHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
678 PETALUMA AVE, SEBASTOPOL, CA 95472-4217
(707) 829-1811
Mailing address
7969 KENNEDY RD, SEBASTOPOL, CA 95472-5318
(707) 823-3000
(707) 827-3290
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
Primary
G48460
CA
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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