Individual
TRACI LOU SCHILLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3333 CHANATE RD, SANTA ROSA, CA 95404-1707
(707) 565-4975
Mailing address
3333 CHANATE RD, SANTA ROSA, CA 95404-1707
(707) 565-4975
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN519938
CA
Other
Enumeration date
02/15/2011
Last updated
08/19/2014
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