TALIA KOSTICK

SANTA ROSA, CA
NPI1114423050
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: UT  12264897-1205)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-03-31
Last Update Date2021-06-22
Business Address
TALIA KOSTICK
3569 ROUND BARN CIR STE 200
SANTA ROSA, CA 95403-5781
Phone number: 707-583-8800
Mailing Address
TALIA KOSTICK
3569 ROUND BARN CIR STE 200
SANTA ROSA, CA 95403-5781
Phone number: 707-583-8800