Organization
SONOMA COUNTY INDIAN HEALTH PROJECT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOLIN MALICAY (CHIEF EXECUTIVE OFFICER)
(707) 521-4545
Entity
Organization
Contact information
Practice address
144 STONY POINT RD, SANTA ROSA, CA 95401-4122
(707) 521-4545
Mailing address
144 STONY POINT RD, SANTA ROSA, CA 95401-4122
(707) 521-4545
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
LCS15758
CA
Other
Enumeration date
11/14/2011
Last updated
11/14/2011
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