Individual provider · Type 1 NPI
Stewart Bernard Perrilliat Ii, DMIN
Religious Nonmedical Practitioner · Santa Rosa, CA
NPI number
1316767221
Active
Practice location
5416 Shallows Pl W
Santa Rosa, CA 95409-5502
Fax (707) 703-5794
Other practice locations
- 7200 Bancroft Ave Ste 266, Oakland, CA 94605-2465 · (408) 750-4334
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Worker | 172V00000X | None listed |
| Religious Nonmedical Practitioner Primary | 374K00000X | None listed |
Religious Nonmedical Practitioner: A religious nonmedical practitioner offers spiritually-based care. Services may be rendered in an office, home, or care facility or by phone, email, or written correspondence.
Another provider at this address
About NPI 1316767221
Stewart Bernard Perrilliat Ii, DMIN's National Provider Identifier is 1316767221, issued on Oct 15, 2024. The primary taxonomy on file is Religious Nonmedical Practitioner (374K00000X), and the practice location is in Santa Rosa, CA. The record was last updated on Oct 15, 2024.