Individual
MRS. KATE HULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
544 STONY PT RD, SANTA ROSA, CA 95401
(707) 521-4500
Mailing address
1058 PEGGOTTY PL, SANTA ROSA, CA 95401-4978
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
753582
CA
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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