Individual
JOAN KAZMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3320 CHANATE RD, SANTA ROSA, CA 95404-1708
(707) 576-4108
(707) 576-4087
Mailing address
2670 MEADOWMONT LN, SANTA ROSA, CA 95404-1900
(707) 575-0986
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
204949
CA
363L00000X
Nurse Practitioner
Primary
5435
CA
Other
Enumeration date
07/20/2007
Last updated
08/21/2007
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