Sonja Derose, MD

NPI #1558849661 in Clearlake, California

Provider Information

NPI Number: 1558849661
Entity Type: Individual
Name: Sonja Derose, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jul 31, 2018
Last Updated: Jul 31, 2018

Practice Location

Address: 15230 LAKESHORE DR
City: Clearlake
State: California
ZIP Code: 95422-8107
Phone: (707) 995-4500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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