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1235490616
SERENA RUSSELL
SANTA CRUZ, CA
NPI
1235490616
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
176B00000X Midwife
(Licence: CA 472)
Enumeration Date
2012-06-02
Last Update Date
2023-11-18
Business Address
SERENA RUSSELL LM, CPM
530 OCEAN ST STE A
SANTA CRUZ, CA 95060-6628
Phone number: 707-484-3403
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Mailing Address
SERENA RUSSELL LM, CPM
PO BOX 3409
SANTA CRUZ, CA 95063-3409
Phone number:
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