BRENDA ADELE TAFOLLA

SANTA ROSA, CA
NPI1487275327
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy261QM2800X Clinic/Center Methadone
(Licence: CA  49-02)
Enumeration Date2020-05-01
Last Update Date2020-05-01
Business Address
BRENDA ADELE TAFOLLA
625 STEELE LN
SANTA ROSA, CA 95403-3127
Phone number: 707-576-0818
Mailing Address
BRENDA ADELE TAFOLLA
625 STEELE LN
SANTA ROSA, CA 95403-3127
Phone number: 707-576-0818
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