Individual
MS. CARLA PRICE LONGCHAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1300 N DUTTON AVE, SANTA ROSA, CA 95401-7112
(707) 459-6861
Mailing address
1245 S MAIN ST, WILLITS, CA 95490-4305
(707) 459-6861
(707) 459-3057
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G76332
CA
Other
Enumeration date
06/09/2006
Last updated
07/23/2018
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