PROVIDENCE MEDICAL GROUP, NORTHERN CALIFORNIA

PrivateCIK: 1937800
Location

SANTA ROSA, CA

Key Entity Details

Legal Name

PROVIDENCE MEDICAL GROUP, NORTHERN CALIFORNIA

Central Index Key (CIK)

1937800

Employer ID (EIN)

881779768

Phone Number

707-387-3927

Business Address

185 SOTOYOME STREET

SANTA ROSA, 95405

CA

Mailing Address

185 SOTOYOME STREET

SANTA ROSA, 95405

CA