Individual
MS. CONSTANCE J. AYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
652 PETALUMA BLVED., SUITE H, SEBASTOPOL, CA 95472
(707) 823-7616
(707) 823-2803
Mailing address
4 HAMILTON LANDING, SUITE 100, NOVATO, CA 94949
(415) 884-1840
(415) 883-7127
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
GO48999
CA
207Q00000X
Family Medicine Physician
Primary
G048999
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G489990
MEDICAL #
CA
Enumeration date
10/24/2006
Last updated
07/14/2014
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