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Individual

NINA ROSE BASKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LM

Contact information

Practice address
616 PETALUMA BLVD N, PETALUMA, CA 94952-2847
(415) 858-8220
(707) 241-3040
Mailing address
616 PETALUMA BLVD N, PETALUMA, CA 94952-2847
(707) 241-3040
(510) 210-1376

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
731
CA

Other

Enumeration date
02/12/2024
Last updated
11/14/2025
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