Individual
DR. CLAIRE SULLIVAN MOGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, DNP
Contact information
Practice address
838 NORDAHL RD STE 300, SAN MARCOS, CA 92069-3599
(760) 074-7089
(760) 466-0078
Mailing address
PO BOX 25100, FRESNO, CA 93729-5100
(559) 326-1222
(559) 326-1230
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95007255
CA
Other
Enumeration date
09/08/2017
Last updated
01/27/2020
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