Fiddleheads | |
7 4th St Suite 46 Petaluma CA 94952-3043 | |
(510) 788-0876 | |
(707) 241-4948 |
Full Name | Fiddleheads |
---|---|
Speciality | Community/behavioral Health |
Location | 7 4th St, Petaluma, California |
Authorized Official Name and Position | Cherie Felzer (ADMINISTRATIVE DIRECTOR) |
Authorized Official Contact | 5107880876 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Fiddleheads 7 4th St Suite 46 Petaluma CA 94952-3043 Ph: (510) 788-0876 | Fiddleheads 7 4th St Suite 46 Petaluma CA 94952-3043 Ph: (510) 788-0876 |
NPI Number | 1215472030 |
---|---|
Provider Enumeration Date | 01/03/2017 |
Last Update Date | 01/03/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215472030 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 93350 (California) | Primary |
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