Individual
MS. JANE RATTANAVILAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1521 4TH ST STE A, SANTA ROSA, CA 95404-4017
(707) 478-1493
Mailing address
2235 MOLDAVITE LN, SANTA ROSA, CA 95404-6173
(707) 478-1493
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
—
—
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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