Organization
NAPA HEALTHY AGING INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA DOREEN KNUDSEN PA-C (CFO, SECRETARY)
(214) 537-2080
Entity
Organization
Contact information
Practice address
3419 VALLE VERDE DR, NAPA, CA 94558-2414
(214) 537-2080
(707) 282-9120
Mailing address
3419 VALLE VERDE DR, NAPA, CA 94558-2414
(214) 537-2080
(707) 282-9120
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
C54989
CA
Other
Enumeration date
06/08/2012
Last updated
06/08/2012
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