Individual
CARLA RAE OBRIEN-JAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7425 RANCHO LOS GUILICOS RD, SANTA ROSA, CA 95409-6519
(707) 565-6344
Mailing address
202 PLEASANT HILL AVE N, SEBASTOPOL, CA 95472-3106
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
528802
CA
Other
Enumeration date
12/09/2011
Last updated
12/09/2011
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