Individual
MISS TAYLOR RENEE NEWCOMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
219 C ST, SAN RAFAEL, CA 94901-4916
(949) 390-3434
Mailing address
219 C ST, SAN RAFAEL, CA 94901-4916
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000000000000
NURSING SERVICE RELATED PROVIDERS TYPE
CA
05
—
000000000000000000
—
CA
Enumeration date
12/01/2021
Last updated
12/01/2021
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