Individual
JAQUELINE CARDONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
850 W 9TH ST, SANTA ROSA, CA 95401-5349
(707) 890-3940
Mailing address
1757 GLENBROOK DR, SANTA ROSA, CA 95401-5913
(707) 596-2182
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
CA
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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