Individual
CAROL ANNE POPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3333 CHANATE RD, SANTA ROSA, CA 95404-1707
(707) 565-4920
Mailing address
3333 CHANATE RD, SANTA ROSA, CA 95404-1707
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
204802
CA
Other
Enumeration date
12/20/2006
Last updated
08/18/2014
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