Organization
PETALUMA HEALTH CENTER, INC
Active
Other names
Rohnert Park Community Acupuncture
Organization subpart
No
Provider details
NPI number
Authorized official
MOLLY JOUANEH (CFO)
(707) 559-7500
Entity
Organization
Contact information
Practice address
6040 COMMERCE BLVD STE 108, ROHNERT PARK, CA 94928-2181
(707) 559-7500
Mailing address
1455 N MCDOWELL BLVD STE D, PETALUMA, CA 94954-6503
(707) 559-7500
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
03/30/2022
Last updated
08/30/2022
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