Individual
GARETH P POLITTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
101 BODIN CIR, FAIRFIELD, CA 94535-1809
(707) 423-3000
Mailing address
4483 TAHITI CT, FAIRFIELD, CA 94533-6631
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1190008
TX
Other
Enumeration date
06/01/2026
Last updated
06/01/2026
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