| Sonoma Psycho-oncology | |
|
1480 Lincoln Ave Ste 7 San Rafael CA 94901-2085 | |
| (707) 888-7845 | |
| Not Available |
| Full Name | Sonoma Psycho-oncology |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1480 Lincoln Ave Ste 7, San Rafael, California |
| Authorized Official Name and Position | Michael Staples (DIRECTOR) |
| Authorized Official Contact | 7078887845 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sonoma Psycho-oncology 18370 Clayton Ave Sonoma CA 95476-4214 Ph: (707) 888-7845 | Sonoma Psycho-oncology 1480 Lincoln Ave Ste 7 San Rafael CA 94901-2085 Ph: (707) 888-7845 |
| NPI Number | 1346480381 |
|---|---|
| Provider Enumeration Date | 03/04/2009 |
| Last Update Date | 03/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346480381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MFC39498 (California) | Primary |
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