Russell, Serena

Russell, Serena is an sole proprietor health care provider with primary practice located at 530 Ocean St Ste A , Santa Cruz CA 95060-6628. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Russell, Serena can be contacted via phone (707) 484-3403.

Contact Information

Primary practice address
530 Ocean St Ste A Santa Cruz CA 95060-6628
Phone: (707) 484-3403
Fax: (831) 295-6706
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X 472 California

Profile Details

NPI number 1235490616
LBN Legal business name Russell, Serena
Credentials LM, CPM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2012
Last updated Nov 18th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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