Individual
SUSIE SHIN-CALANDRELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
365 KUCK LN, PETALUMA, CA 94952-9606
(707) 806-9393
Mailing address
911 LAKEVILLE ST # 146, PETALUMA, CA 94952-3329
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A92898
CA
Other
Enumeration date
11/20/2006
Last updated
12/28/2022
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