NPI 1316767221

Stewart Bernard Perrilliat, DMIN

Practitioner Religious Nonmedical Practitioner Santa Rosa, CA

Practice location

Address: 5416 Shallows Pl W, Santa Rosa, CA 95409-5502
Phone: (408) 750-4334
Fax: (707) 703-5794

Registered specialties (2)

Religious Nonmedical Practitioner Primary

Nursing Service Related Providers Taxonomy 374K00000X

Other Religious Nonmedical Practitioner providers in California →

Community Health Worker

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in California →

Registry record

NPI: 1316767221
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Oct 2024
Record last updated: 15 Oct 2024

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.