Individual
CYRUS SEDAGATNIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
799 PINER RD, SANTA ROSA, CA 95403-2006
(707) 478-7306
Mailing address
1528 MARIA PL, ROHNERT PARK, CA 94928-8158
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95036044
CA
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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