Individual
ANDREA FURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4765 HOEN AVE, SANTA ROSA, CA 95405-7862
(707) 523-3020
Mailing address
4765 HOEN AVE, SANTA ROSA, CA 95405-7862
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
34170
CA
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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