Individual
DENNY JEB PIOLO STA ANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 BICENTENNIAL WAY, SANTA ROSA, CA 95403-2149
(707) 393-4798
Mailing address
401 BICENTENNIAL WAY, SANTA ROSA, CA 95403-2149
(707) 393-4798
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
32849
CA
Other
Enumeration date
10/19/2020
Last updated
02/11/2022
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