Individual
MRS. CHARLENE PHYLLIS MONTICELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
269 AVIATION BLVD, STE 102, SANTA ROSA, CA 95403-9017
(707) 836-1333
Mailing address
269 AVIATION BLVD., STE. 102, WINDSOR, CA 95492-9540
(707) 836-1333
(707) 838-4382
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC27131
CA
Other
Enumeration date
05/07/2007
Last updated
04/21/2016
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