AMANDA MAE VERGEL DE DIOS

SANTA ROSA, CA
NPI1679069058
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA  95025863)
Additional Taxonomies172V00000X Community Health Worker
Enumeration Date2018-07-09
Last Update Date2023-07-31
Business Address
AMANDA MAE VERGEL DE DIOS
1300 N DUTTON AVE
SANTA ROSA, CA 95401-7112
Phone number: 707-396-5151
Mailing Address
AMANDA MAE VERGEL DE DIOS
1300 N DUTTON AVE
SANTA ROSA, CA 95401-7112
Phone number: