IndividualActive
Eugene Garrett, CCP
NPI 1407554595 · Perfusionist · Santa Rosa, CA
Provider details
- NPI number
- 1407554595
- Entity type
- Individual
- Primary specialty
- PerfusionistTechnologists, Technicians & Other Technical Service Providers
- Credential
- CCP
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
532 Yulupa Ave
Santa Rosa, CA 95405-5108
Phone: (808) 349-6706
Approximate (ZIP-level) locationGet directions
Mailing address
1500 Standiford Ave Bldg C
Modesto, CA 95350-0592
Registry dates
- Enumerated
- 2023-02-20
- Last updated
- 2023-02-20
- Certified
- 2023-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.