Individual
CECILIA ALVAREZ BARAJAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3883 AIRWAY DR STE 220, SANTA ROSA, CA 95403-1671
(707) 521-7750
(707) 573-5427
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(707) 521-7750
(707) 573-5427
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1180184
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59046
STATE MEDICAL LICENSE
CA
Enumeration date
10/31/2019
Last updated
06/23/2021
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