Organization
COUNTY OF SONOMA
Active
Other names
Fee for Service Mixed Specialty Group
Organization subpart
No
Provider details
NPI number
Authorized official
RUBY ZHANG (REVENUE MANAGER)
(707) 565-7846
Entity
Organization
Contact information
Practice address
1450 NEOTOMAS AVE STE 200, SANTA ROSA, CA 95405-7574
(707) 565-7846
Mailing address
1450 NEOTOMAS AVE STE 200, SANTA ROSA, CA 95405-7574
(707) 565-7846
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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