Individual
ANGELA MERRISA WETMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
585 W COLLEGE AVE STE A, SANTA ROSA, CA 95401-5060
(707) 526-3500
Mailing address
585 W COLLEGE AVE STE A, SANTA ROSA, CA 95401-5060
(707) 526-3500
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA23268
CA
Other
Enumeration date
10/04/2013
Last updated
11/11/2021
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