NPI 1003527417

Shelley Rae van Gundy Oconnor

Practitioner Other Technician Santa Rosa, CA

Practice location

Address: 2227 Capricorn Way STE 201, Santa Rosa, CA 95407-5478
Phone: (707) 565-4854

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in California →

Registry record

NPI: 1003527417
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Dec 2022
Record last updated: 6 Dec 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.