Individual
ELIZABETH MUNNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
211 RIDGWAY AVE, SANTA ROSA, CA 95401-4320
(707) 890-3800
Mailing address
211 RIDGWAY AVE, SANTA ROSA, CA 95401-4320
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
747446
CA
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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