Individual
AMPARO HARGREAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 NORTHPOINT PKWY, SANTA ROSA, CA 95407-5004
(707) 235-3811
Mailing address
2310 1ST ST, NAPA, CA 94559-2239
(707) 977-8633
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
04/01/2022
Last updated
11/03/2022
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