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Individual

ANNA BAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
499 HUMBOLDT ST STE 104, SANTA ROSA, CA 95404-4214
(707) 565-7407
Mailing address
499 HUMBOLDT ST STE 104, SANTA ROSA, CA 95404-4214

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G72855
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G7285500
CA
Enumeration date
01/09/2007
Last updated
06/27/2014
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