Individual
DR. WYNNELENA CANLAS CANIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
401 BICENTENNIAL WAY, SANTA ROSA, CA 95403-2149
(707) 393-3274
Mailing address
401 BICENTENNIAL WAY, SANTA ROSA, CA 95403-2149
(707) 393-3274
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
A108488
CA
2084P0800X
Psychiatry Physician
A108488
CA
Other
Enumeration date
04/03/2007
Last updated
12/15/2021
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