NORTH BAY FOOT AND ANKLE CLINIC, INC
Medical Practice at 4 St, Santa Rosa, CA

License number
California E4562
Category
Medical Practice
Type
Foot & Ankle Surgery
Owner
Name: DR. ADELINA B STATEVA DPM
Title: CEO
Phone: (707) 546-2107
Address
Address
1041 4Th St SUITE B, Santa Rosa, CA 95404
National Provider ID: 1033284591
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NORTH BAY FOOT AND ANKLE CLINIC, INC

1041 4 St STE B, Santa Rosa, CA 95404

Industry:
Health/Allied Services
Registration:
May 21, 2007
State ID:
C2999458
Business type:
Articles of Incorporation
President:
Adelina Stateva (President)
Agent:
Ken Waterman,Santa Rosa, CA 95401 (Physical)

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