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Individual

EVE K HARSTAD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
983 SONOMA AVE, SANTA ROSA, CA 95404-4818
(707) 575-4357
Mailing address
642 BROOKWOOD AVE, SANTA ROSA, CA 95404-5223
(707) 331-2010

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
MPSS-VTILFU
CA

Other

Enumeration date
09/29/2025
Last updated
10/14/2025
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