Individual
CHARLENE ABAYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1373 FUNSTON DR, SANTA ROSA, CA 95407-6923
(707) 576-7547
Mailing address
1373 FUNSTON DR, SANTA ROSA, CA 95407-6923
(707) 576-7547
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN101134
CA
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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