Organization
JEWISH COMMUNITY FREE CLINIC
Active
Organization
JEWISH COMMUNITY FREE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA L WALDMAN (EXECUTIVE DIRECTOR)
(707) 888-0850
Entity
Organization
Contact information
Practice address
50 MONTGOMERY DR, SANTA ROSA, CA 95404-6615
(707) 585-7780
Mailing address
50 MONTGOMERY DR, SANTA ROSA, CA 95404-6615
(707) 585-7780
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
550001029
CA
Other
Enumeration date
12/29/2009
Last updated
09/10/2021
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