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Individual

ELEANNA ALEXIA KENNEDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
751 LOMBARDI CT, SANTA ROSA, CA 95407-6798
(707) 547-2222
Mailing address
979 STANISLAUS WAY, SANTA ROSA, CA 95401-7812
(707) 799-5591

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95008588
CA

Other

Enumeration date
02/22/2018
Last updated
02/22/2018
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