Individual
CATHERINE JOHNSEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4700 HOEN AVE, SANTA ROSA, CA 95405
(707) 526-3360
(707) 526-0554
Mailing address
4700 HOEN AVE, SANTA ROSA, CA 95405
(707) 526-3360
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ZOA7468
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX74680
—
CA
Enumeration date
06/15/2006
Last updated
07/08/2007
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