Individual
MS. EDITH VERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1160 N DUTTON AVE, SUITE 105, SANTA ROSA, CA 95401-4600
(707) 545-2700
Mailing address
160 WIKIUP DR STE 102, SANTA ROSA, CA 95403-7776
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
12/06/2011
Last updated
07/15/2025
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