Individual
MONICA OHKUBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, EMT-B
Contact information
Practice address
1501 MENDOCINO AVE, SANTA ROSA, CA 95401-4332
(707) 527-4457
Mailing address
3373 MOJAVE AVE, SANTA ROSA, CA 95407-4207
(707) 694-9291
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
093678
CA
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/26/2015
Last updated
02/26/2015
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