Individual
LASHAY C CLEMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
858 BLUEWATER WAY, PORT HUENEME, CA 93041-3553
(615) 967-8375
Mailing address
858 BLUEWATER WAY, PORT HUENEME, CA 93041-3553
(615) 967-8375
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
95114943
CA
163WH0200X
Home Health Registered Nurse
95114943
CA
163WM0705X
Medical-Surgical Registered Nurse
95114943
CA
Other
Enumeration date
10/14/2017
Last updated
10/14/2017
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