Individual
CLAY VANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 LEWELLING BLVD SPC 16, SAN LEANDRO, CA 94579-2261
(510) 691-3592
Mailing address
2100 LEWELLING BLVD SPC 16, SAN LEANDRO, CA 94579-2261
(510) 691-3592
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95007197
CA
Other
Enumeration date
10/15/2010
Last updated
12/04/2017
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