Organization
JONATHAN'S SON, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RHONDA STOCKTON-HARLIN RN (VICE PRESIDENT)
(707) 538-3210
Entity
Organization
Contact information
Practice address
2615 ALTON LN, SANTA ROSA, CA 95403-4015
(707) 538-3210
(707) 324-8184
Mailing address
2615 ALTON LN, SANTA ROSA, CA 95403-4015
(707) 538-3210
(707) 324-8184
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
409116
CA
Other
Enumeration date
11/01/2010
Last updated
11/01/2010
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