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Individual

SAMARA LAXINETA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM, WHNP

Contact information

Practice address
837 ADDISON ST, BERKELEY, CA 94710-2047
(510) 981-4100
Mailing address
3734 ANZA ST APT 2, SAN FRANCISCO, CA 94121-2864
(951) 642-0962

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
95030843
CA
367A00000X
Advanced Practice Midwife
Primary
236463
CA

Other

Enumeration date
01/02/2025
Last updated
01/02/2025
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