Individual
CHRISTOPHER R. WACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3322 CHANATE RD, SANTA ROSA, CA 95404-1708
(707) 565-4980
Mailing address
912 HACIENDA CIR, ROHNERT PARK, CA 94928-6003
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
464629
CA
Other
Enumeration date
01/08/2007
Last updated
09/11/2014
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