Individual
DONNA SUSAN HOUSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 WILDBERRY LN, COTATI, CA 94931-9655
(925) 812-1784
Mailing address
105 WILDBERRY LN, COTATI, CA 94931-9655
(925) 812-1784
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
283461
CA
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
283461
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
283461
CA
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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