Individual
JING CAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
616 ARMIDA DR, PETALUMA, CA 94954-3710
(707) 239-0968
Mailing address
616 ARMIDA DR, PETALUMA, CA 94954-3710
(707) 239-0968
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
CA
Enumeration date
07/24/2020
Last updated
07/24/2020
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