Individual
KALANETE R BARUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3569 ROUND BARN CIR, SANTA ROSA, CA 95403-5781
(707) 303-3600
Mailing address
1800 HARRISON ST FL 7, OAKLAND, CA 94612-3466
(510) 625-4101
(877) 738-4262
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95000850
CA
363LF0000X
Family Nurse Practitioner
760114
CA
367A00000X
Advanced Practice Midwife
LM36
CA
Other
Enumeration date
09/30/2009
Last updated
12/28/2021
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