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Individual

ANDREA MAZZOLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
175 CONCOURSE BLVD, SANTA ROSA, CA 95403-8217
(707) 284-9200
Mailing address
3632 IDAHO DR, SANTA ROSA, CA 95405-7322
(415) 254-3304

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
ND1161
CA

Other

Enumeration date
06/23/2020
Last updated
06/23/2020
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