Sonomamodelx INC
NPI #1750073136 in Sonoma, California
Provider Information
- NPI Number
- 1750073136
- Entity Type
- Organization
- Organization Name
- Sonomamodelx INC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- May 23, 2023
- Last Updated
- May 23, 2023
Practice Location
- Address
- 765 DONALD ST
- City
- Sonoma
- State
- California
- ZIP Code
- 95476-4604
- Phone
- (415) 264-5486
Authorized Official
- Name
- JULIE LATIFI
- Title
- LICENSEE
- Phone
- (415) 264-5486
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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