Individual
SONIA PADILLA-MONTERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
6650 COMMERCE BLVD STE #24, SUITE #24, ROHNERT PARK, CA 94928
(707) 206-5610
Mailing address
1109 LOHRMAN LN, PETALUMA, CA 94952-1613
(707) 206-5610
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
CA
174H00000X
Health Educator
—
CA
225700000X
Massage Therapist
Primary
—
—
251T00000X
PACE Provider Organization
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
621399
NAICS
CA
Enumeration date
01/06/2021
Last updated
01/06/2021
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