Marina Antonova
Marina Antonova is a Specialist in Santa Rosa, California. Registered with an NPI since 2025.
- In the registry since
- 2025
- Specialties on file
- 2
Practice location Address checks out
2235 Mercury Way Ste 107Santa Rosa, CA 95407-5472
Phone: (415) 849-5700
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Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X |
|---|---|
| Specialist | Taxonomy 174400000X |
Record details
| NPI number | 1407746878 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 8, 2025 |
| Last updated in NPPES | July 17, 2025 |
| Certification date | July 17, 2025 |
| Mailing address | 2235 Mercury Way Ste 107, Santa Rosa, CA 95407-5472 |
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