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Individual

MS. ROSEANNA M DUENAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.-C

Contact information

Practice address
6400 LONE PINE RD, SEBASTOPOL, CA 95472-5623
(707) 861-1187
(707) 261-0786
Mailing address
PO BOX 7019, COTATI, CA 94931-7019

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
53976
CA
363AM0700X
Medical Physician Assistant
Primary
53976
CA

Other

Enumeration date
03/24/2017
Last updated
04/10/2026
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