Individual
CATHY ISHIZU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
625 5TH ST, SANTA ROSA, CA 95404-4428
(707) 565-4449
Mailing address
625 5TH ST, SANTA ROSA, CA 95404-4428
(707) 565-4449
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
288862
CA
Other
Enumeration date
07/22/2009
Last updated
07/22/2009
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