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Individual
JAYNE KWON-CLAVADETSCHER
Active
Individual
JAYNE KWON-CLAVADETSCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN-1790
HI
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
95004414
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13998254
CAQH
—
01
—
1922400050
NPI
—
01
—
95004414
LICENSE
CA
Enumeration date
09/19/2014
Last updated
07/21/2022
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