Individual
RENEE DETTLOFF
Active
Sole proprietor
No
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
1409 YARBERRY LN, PETALUMA, CA 94954-1601
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
236013
CA
Other
Enumeration date
01/18/2017
Last updated
01/24/2019
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