Individual
KRISTINA MAY DORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1450 NEOTOMAS AVE, SANTA ROSA, CA 95405-7537
(707) 565-4700
Mailing address
938 BOYD ST, SANTA ROSA, CA 95407-6101
(707) 565-4700
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN95386944
CA
Other
Enumeration date
09/26/2025
Last updated
09/26/2025
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