Individual
SUZANNE PILEGAARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERTIFIED MASTECTOMY
Contact information
Practice address
101 WIKUP DRIVE, SUITE C, SANTA ROSA, CA 95403-1375
(707) 526-0356
(707) 526-0376
Mailing address
101 WIKUP DRIVE, SUITE C, SANTA ROSA, CA 95403-1375
(707) 526-0356
(707) 526-0376
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
Other
Enumeration date
01/19/2010
Last updated
07/08/2011
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