Organization
BLUE NOTE TELEHEALTH
Active
Organization
BLUE NOTE TELEHEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY SUN MD (PRESIDENT AND CEO)
(805) 728-5544
Entity
Organization
Contact information
Practice address
11951 PRADERA RD, SANTA ROSA VALLEY, CA 93012-9384
(805) 728-5544
Mailing address
11951 PRADERA RD, SANTA ROSA VALLEY, CA 93012-9384
(805) 728-5544
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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