Individual
MICHELLE PATINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
615B 2ND ST, PETALUMA, CA 94952-5123
(408) 390-7194
Mailing address
316 VALLEJO ST, PETALUMA, CA 94952-3246
(408) 390-7194
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
586603
CA
Other
Enumeration date
08/08/2020
Last updated
08/08/2020
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