NAOMI W. GRANVOLD

SANTA ROSA, CA
NPI1356425326
Former NameNAOMI JOAN WAGNER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA  G37926)
Enumeration Date2006-10-25
Last Update Date2013-09-24
Business Address
Dr. NAOMI W. GRANVOLD MD
3322 CHANATE RD
SANTA ROSA, CA 95404-1708
Phone number: 707-956-5490
Mailing Address
Dr. NAOMI W. GRANVOLD MD
1004 WOODLAKE DR
SANTA ROSA, CA 95405-9213
Phone number: 707-953-2187