Mrs. Amanda C. Wongsonegoro, CMT - Petaluma, CA

Mrs. Amanda C. Wongsonegoro, CMT

Specialist in Petaluma, California

NPI 1649480039

Amanda C. Wongsonegoro is a Specialist based in Petaluma, CA. Amanda C. Wongsonegoro practices in Petaluma, CA and has the professional credentials of CMT. The NPI Number for Amanda C. Wongsonegoro is 1649480039 and holds a License No. (California).

The current practice location address for Amanda C. Wongsonegoro is 35 Petaluma Blvd N, Petaluma, CA and can be reached out via phone at 707-477-5402 and via fax at 707-762-4316.

Location: 35 Petaluma Blvd N, Petaluma, CA, 94952-2729

NPI Number

1649480039

Provider Name

Amanda C. Wongsonegoro

Credential

CMT

Provider Entity Type

Individual

Gender

Female

Address

35 Petaluma Blvd N, Petaluma, CA, 94952-2729

Phone Number

707-477-5402

Fax Number

707-762-4316

Provider Enumeration Date

05/23/2007

Last Update Date

03/09/2024

Address

35 Petaluma Blvd N

City

Petaluma

State

California

Zip

94952-3001

Phone Number

707-477-5402

Fax Number

707-762-4316

Address

35 Petaluma Blvd N

City

Petaluma

State

California

Zip

94952-3001

Phone Number

707-477-5402

Fax Number

707-762-4316

Type

Other Service Providers

Classification

Specialist

Speciality

Taxonomy

174400000X

License No.

()

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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