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Shelley Anne Radtke

Respiratory Therapist, Registered in Santa Rosa, CA. Individual provider (NPI-1).

NPI number1669937876
StatusActive
Last updated in NPPESFeb 1, 2019

Details

NPI
1669937876
Entity type
Individual (NPI-1)
Name
Shelley Anne Radtke
Sex
Female
Sole proprietor
No
Enumeration date
Feb 1, 2019
Last updated
Feb 1, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
227900000X Respiratory Therapist, Registered27916CAYes

Practice location

401 Bicentennial Way
Santa Rosa, CA 95403-2149

Phone 707-393-4750

Mailing address

401 Bicentennial Way
Santa Rosa, CA 95403-2149

Phone 707-393-4750

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