Individual provider · Type 1 NPI

Waid Charles Allred

Specialist · Santa Rosa, CA

NPI number 1629402987 Active

Practice location

3322 Chanate Rd
Santa Rosa, CA 95404-1708

Call (707) 565-7864 Map

Mailing address

9501 Essex Ct
Windsor, CA 95492-8514

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: 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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About NPI 1629402987

Waid Charles Allred's National Provider Identifier is 1629402987, issued on Aug 22, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Santa Rosa, CA. The record was last updated on Jun 23, 2014.