Individual
CHRIS BOSSONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
644 SANTANA RD, NOVATO, CA 94945-1531
(203) 610-5522
Mailing address
644 SANTANA RD, NOVATO, CA 94945-1531
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
CA
Other
Enumeration date
05/07/2020
Last updated
05/07/2020
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