Individual
MS. RENAE LAREE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
250 TRAVELODGE DR, KAISER PERMANENTE, EL CAJON, CA 92020-4126
(619) 441-3021
Mailing address
250 TRAVELODGE DR, KAISER PERMANENTE, EL CAJON, CA 92020-4126
(619) 441-3021
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
446374
CA
Other
Enumeration date
04/04/2006
Last updated
11/29/2021
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