MARA BERTOLI

SANTA ROSA, CA
NPI1700293339
Former NameMARA BOOSTER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95000942)
Enumeration Date2014-07-15
Last Update Date2015-07-06
Business Address
Mrs. MARA BERTOLI NP-C
1255 N DUTTON AVE
SANTA ROSA, CA 95401-4663
Phone number: 707-546-9400
Mailing Address
Mrs. MARA BERTOLI NP-C
1255 N DUTTON AVE
SANTA ROSA, CA 95401-4663
Phone number: