Individual
DR. ANITA RENAU BRALOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1080 N WESTERN AVE, LOS ANGELES, CA 90029-2310
(323) 957-3737
(323) 957-8777
Mailing address
4136 W 62ND ST, LOS ANGELES, CA 90043-3613
(818) 470-6321
(323) 298-5352
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
1115
CA
Other
Enumeration date
01/15/2016
Last updated
01/15/2016
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