Siskiyou Rural Housecalls Medical Corporation
NPI #1871690057 in Sebastopol, California
Provider Information
- NPI Number
- 1871690057
- Entity Type
- Organization
- Organization Name
- Siskiyou Rural Housecalls Medical Corporation
- Primary Specialty
- Family Medicine
- Enumeration Date
- Sep 20, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1296 SCHEIBEL LN
- City
- Sebastopol
- State
- California
- ZIP Code
- 95472-4717
- Phone
- (707) 884-9004
Authorized Official
- Name
- MS. JUDITH T. WALENTA, FNP
- Title
- PRESIDENT
- Phone
- (707) 884-9004
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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