Individual
SERENA RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
530 OCEAN ST STE A, SANTA CRUZ, CA 95060-6628
(707) 484-3403
(831) 295-6706
Mailing address
PO BOX 3409, SANTA CRUZ, CA 95063-3409
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
472
CA
Other
Enumeration date
06/02/2012
Last updated
11/18/2023
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