Provider Demographics
NPI:1952684797
Name:SOMINE, BRIDGET (ND)
Entity Type:Individual
Prefix:DR
First Name:BRIDGET
Middle Name:
Last Name:SOMINE
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:BRIDGET
Other - Middle Name:
Other - Last Name:GRUSECKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:95 MONTGOMERY DRIVE
Mailing Address - Street 2:SUITE 90
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95404-6616
Mailing Address - Country:US
Mailing Address - Phone:707-332-9696
Mailing Address - Fax:866-802-7946
Practice Address - Street 1:95 MONTGOMERY DRIVE
Practice Address - Street 2:SUITE 90
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95404-6616
Practice Address - Country:US
Practice Address - Phone:707-332-9696
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-27
Last Update Date:2016-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND-576175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath