Individual
MRS. ATOOSA MOLANAZADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
34 MARK WEST SPRINGS RD, SANTA ROSA, CA 95403-1766
(707) 573-5200
(707) 573-5417
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(707) 573-5200
(707) 573-5417
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
14589
CA
Other
Enumeration date
05/11/2017
Last updated
05/18/2023
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