| Peaceful Provider Llc | |
|
1818 La Plz Ste 104 Cotati CA 94931-5216 | |
| (707) 634-4487 | |
| Not Available |
| Full Name | Peaceful Provider Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1818 La Plz Ste 104, Cotati, California |
| Authorized Official Name and Position | Demetra Markis (CEO) |
| Authorized Official Contact | 7076344487 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peaceful Provider Llc 1818 La Plz Ste 104 Cotati CA 94931-5216 Ph: (707) 634-4487 | Peaceful Provider Llc 1818 La Plz Ste 104 Cotati CA 94931-5216 Ph: (707) 634-4487 |
| NPI Number | 1992500995 |
|---|---|
| Provider Enumeration Date | 02/14/2025 |
| Last Update Date | 02/14/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992500995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |