Individual
ANANDI S OHKUBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 MEDOCINO AVENUE, STUDENT HEALTH SERVICES, SANTA ROSA, CA 95401
(707) 524-1513
Mailing address
3373 MOJAVE AVE, SANTA ROSA, CA 95407-4207
(707) 800-2096
Taxonomy
Speciality
Code
Description
License number
State
163WC1400X
College Health Registered Nurse
Primary
95366693
CA
363L00000X
Nurse Practitioner
95039154
CA
Other
Enumeration date
04/16/2025
Last updated
04/26/2026
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