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Individual

DR. CLAUDINE GABRIELLA DUTARET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2070 CLINTON AVE DEPT, ALAMEDA, CA 94501-4399
(510) 522-3700
(888) 375-2135
Mailing address
6925 FAIRVIEW DR, EL CERRITO, CA 94530-1829
(510) 334-1482
(888) 375-2135

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G80357
CA
2084N0600X
Clinical Neurophysiology Physician
G80357
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G803570
CA
Enumeration date
08/08/2006
Last updated
07/20/2020
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