Individual
ELISABETH CHICOINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
625 5TH ST, SANTA ROSA, CA 95404-4428
(707) 565-4400
Mailing address
625 5TH ST, SANTA ROSA, CA 95404-4428
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
V29675
CA
Other
Enumeration date
12/04/2007
Last updated
06/27/2014
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