Provider Demographics
NPI:1962169813
Name:AMATO, SABRINA ALDAMA (MPH)
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:ALDAMA
Last Name:AMATO
Suffix:
Gender:F
Credentials:MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1647 BRANDEE LN
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95403-8652
Mailing Address - Country:US
Mailing Address - Phone:707-322-9046
Mailing Address - Fax:
Practice Address - Street 1:1647 BRANDEE LN
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95403-8652
Practice Address - Country:US
Practice Address - Phone:707-322-9046
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-25
Last Update Date:2021-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator