Individual
MONICA LYS TEIXIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PHN
Contact information
Practice address
625 5TH ST, SANTA ROSA, CA 95404-4428
(707) 565-4700
Mailing address
625 5TH ST, SANTA ROSA, CA 95404-4428
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN315406
CA
Other
Enumeration date
08/03/2010
Last updated
08/03/2010
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