Individual
ANA CENICEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7425 LOS GUILUCOS RD, SANTA ROSA, CA 95409
(707) 565-6344
Mailing address
7425 LOS GUILUCOS RD, SANTA ROSA, CA 95409
(707) 565-6344
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
821452
CA
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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