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Individual

MS. ALECIA TICHAVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
3322 CHANATE RD, SANTA ROSA, CA 95404-1708
(707) 576-8181
(707) 565-5183
Mailing address
3322 CHANATE RD, SANTA ROSA, CA 95404-1708
(707) 576-8181
(707) 565-5183

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
813661
CA

Other

Enumeration date
06/12/2015
Last updated
06/12/2015
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