Wongsonegoro, Amanda C.
Wongsonegoro, Amanda C. is an sole proprietor health care provider with primary practice located at 35 Petaluma Blvd N , Petaluma CA 94952-3001. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Wongsonegoro, Amanda C. can be contacted via phone (707) 477-5402.Contact Information
Primary practice address
35 Petaluma Blvd N
Petaluma CA 94952-3001
Phone: (707) 477-5402
Fax: (707) 762-4316
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1649480039 |
|---|---|
| LBN Legal business name | Wongsonegoro, Amanda C. |
| Credentials | CMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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