4S
4TH STREET LASER & SURGERY CENTER INC
Adult Day Care
OIG CLEARNPI VERIFIEDMEDICARE ACTIVE
Location
SANTA ROSA, CA
Licensed since
2006
Rate
—
Federal identifiers
NPI registry number1902964174
Agency details
Medicare activity
StatusActive — enrolled to order & refer
Medicare patients1,237
Authorized official
NameELAYNE CLARK
TitleADMINISTRATOR
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