Organization
NORTH BAY ELECTROLOGY
Active
Other names
North Bay Electrology
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN HANSELMAN (OWNER)
(707) 919-9094
Entity
Organization
Contact information
Practice address
435 N MCDOWELL BLVD STE 119, PETALUMA, CA 94954-2339
(707) 861-0228
Mailing address
2502 MARYLYN CIR, PETALUMA, CA 94954-5823
(707) 919-9094
(707) 919-9094
Taxonomy
Speciality
Code
Description
License number
State
235500000X
Speech/Language/Hearing Specialist/Technologist
Primary
—
—
Other
Enumeration date
01/15/2026
Last updated
01/15/2026
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