Organization
GLOBAL FRESH START
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GIAN NHAN M.D. (SECRETARY)
(707) 328-8789
Entity
Organization
Contact information
Practice address
728 MENDOCINO AVE, SANTA ROSA, CA 95401-4804
(707) 483-7227
(707) 595-1095
Mailing address
728 MENDOCINO AVE, SANTA ROSA, CA 95401-4804
(707) 483-7227
(707) 595-1095
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
06/04/2013
Last updated
06/04/2013
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