| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1356421051 | DOMINO | PAMELA | S | 983 SONOMA AVE | SANTA ROSA | CA | 95404 | |
| 1588850796 | PAPSCO | MARY | CATHERINE | 983 SONOMA AVE | SANTA ROSA | CA | 954044818 | |
| 1558863779 | TUCKER-MEADE | REIS | 983 SONOMA AVE | SANTA ROSA | CA | 954044818 |