Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2020-10-06
- Last updated
- 2022-12-21
Licenses
The registry row did not include a license.
Location
- Practice location
- 84 MADRONE ST STE A
- City
- WILLITS CA
- Postal code
- 954904249
- Phone
- 707-456-3062
Organization contact
- Name
- ARBY NAHAPETIAN
- Title
- President
- Phone
- 7022714998
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
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Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.