CHARLES A AMEZCUA

SANTA ROSA, CA
NPI1245373992
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207ZP0101X Pathology Anatomic Pathology
(Licence: CA  G81183)
Enumeration Date2007-02-14
Last Update Date2022-02-11
Business Address
CHARLES A AMEZCUA M.D.
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403-2149
Phone number: 707-571-4686
Mailing Address
CHARLES A AMEZCUA M.D.
2800 SAINT PAUL DR APT. 241
SANTA ROSA, CA 95405-8542
Phone number: 707-528-1980
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