Individual
JOHN PULLEN DERENZY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
401 BICENTENNIAL WAY, SANTA ROSA, CA 95403-2149
(707) 393-4000
Mailing address
55 MARIA DR APT 234, PETALUMA, CA 94954-3598
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
41108
CA
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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