Individual
DEBRA DASARO ST CLAIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
925 HAMILTON AVE, MENLO PARK, CA 94025-1431
(650) 521-0444
Mailing address
925 HAMILTON AVE, MENLO PARK, CA 94025-1431
(650) 521-5440
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G76348
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G76348
STATE LICENSE
CA
Enumeration date
02/01/2007
Last updated
04/03/2018
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