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1003686692
RAVENNA GIANNOTTA
EUREKA, CA
NPI
1003686692
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-01-04
Last Update Date
2024-06-03
Business Address
RAVENNA GIANNOTTA
2259 MYRTLE AVE
EUREKA, CA 95501-3325
Phone number: 707-444-8293
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Mailing Address
RAVENNA GIANNOTTA
2910 GREEN BRIAR LN
ARCATA, CA 95521-5214
Phone number: 707-845-5849
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