Individual
DR. CLARENE LULU DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
SAN QUENTIN STATE PRISON, SAN QUENTIN, CA 94964
(415) 454-1460
Mailing address
PO BOX 1273, SMITH RIVER, CA 95567-1273
(707) 218-5110
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G075117
CA
Other
Enumeration date
06/01/2007
Last updated
07/08/2007
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