Individual
ADRIANA CHACON-KREYSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 REDWOOD WAY STE 165, PETALUMA, CA 94954-1136
(707) 763-6419
Mailing address
1301 REDWOOD WAY STE 165, PETALUMA, CA 94954-1136
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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