Individual
ARTEMISIA RAVENAROSE FERAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1560 BETTY CT STE A, MCKINLEYVILLE, CA 95519-4406
(707) 839-1933
Mailing address
1560 BETTY CT STE A, MCKINLEYVILLE, CA 95519-4406
(707) 839-1933
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
116164
CA
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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