Individual
GUADALUPE NIETO HEDRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
445 MARCH AVE, SUITE A, HEALDSBURG, CA 95448-3383
(707) 433-8223
(707) 431-1071
Mailing address
PO BOX 898, WINDSOR, CA 95492-0898
(707) 236-2266
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01066640A
IN
Other
Enumeration date
09/16/2005
Last updated
11/03/2021
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