Sonoma Diabetic Supplies
NPI #1760559447 in Sonoma, California
Provider Information
- NPI Number
- 1760559447
- Entity Type
- Organization
- Organization Name
- Sonoma Diabetic Supplies
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Nov 29, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 246 PERKINS ST
- City
- Sonoma
- State
- California
- ZIP Code
- 95476-6954
- Phone
- (707) 938-2667
Authorized Official
- Name
- MRS. SHEILA RAE FANUCCCHI, RN
- Title
- OWNER
- Phone
- (707) 938-2667
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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