Individual
MS. SUSAN MARIE COWDEROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MS, CNS
Contact information
Practice address
401 BICENTENNIAL WAY, SANTA ROSA, CA 95403-2149
(707) 393-4588
Mailing address
505 G ST, PETALUMA, CA 94952-4222
(707) 762-8708
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
347947
CA
Other
Enumeration date
01/12/2009
Last updated
01/12/2009
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