Individual
MONICA KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2225 CHALLENGER WAY, SANTA ROSA, CA 95407-5441
(707) 565-4101
Mailing address
2705 RANGE AVE APT 123, SANTA ROSA, CA 95403-2694
(903) 353-8054
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95190174
CA
Other
Enumeration date
04/29/2019
Last updated
04/29/2019
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