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Individual

SOO AE CHIHARU HENDRON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
101 BODIN CIR, FAIRFIELD, CA 94535-1809
(707) 423-3000
Mailing address
3500 HARBISON DR APT 733, VACAVILLE, CA 95687-3919

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN2369034
MA

Other

Enumeration date
10/06/2025
Last updated
10/06/2025
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