Individual
EVELINE JUNE VENABLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
583 SUMMERFIELD RD, SANTA ROSA, CA 95405-5239
(707) 539-1544
Mailing address
1847 PULLMAN ST, SAN PABLO, CA 94806-4552
(707) 539-1544
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
1905
CA
Other
Enumeration date
10/20/2010
Last updated
02/11/2022
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