Individual
DEMETRIO ROCHA ENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
112 CHILDREN CIR, SANTA ROSA, CA 95409
(707) 565-6350
Mailing address
112 CHILDREN CIR, SANTA ROSA, CA 95409
(707) 565-6350
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
01/27/2025
Last updated
07/16/2025
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