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Organization subpart
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Provider details

NPI number
Authorized official
ANGELA SCHACHT ESCUDERO (DIRECTOR OF DEVELOPMENT)
(707) 433-6161
Entity
Organization

Contact information

Practice address
443 HUDSON ST, HEALDSBURG, CA 95448-4461
(707) 433-6161
Mailing address
443 HUDSON ST, HEALDSBURG, CA 95448-4461
(707) 433-6161

Taxonomy

Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary

Other

Enumeration date
04/25/2023
Last updated
04/25/2023
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Product
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  • EDI platform