| NPI | 1821617978 |
|---|---|
| Doing Business As | PROVIDENCE PALLIATIVE CARE SONOMA |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Asst Secretary For Enrollment 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2022-11-23 |