Most Relevant Information
Provider Data
| NPI Number: | 1003686692 |
| Provider Name: | RAVENNA GIANNOTTA |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/04/2024 |
| Last Updated: | 06/03/2024 |
Provider Practice Location
2259 MYRTLE AVE
EUREKA
CA
955013325
Practice Location Phone/Fax
| Phone: | 7074448293 |
| Fax: |
Provider Mailing Location
2910 GREEN BRIAR LN
ARCATA
CA
955215214
Provider Mailing Phone/Fax
| Phone: | 7078455849 |
| Fax: |