Individual
MR. CLIFFORD LEO FAUBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1937 ELLESMERE LOOP, ROSEVILLE, CA 95747-5085
(916) 586-0075
Mailing address
1937 ELLESMERE LOOP, ROSEVILLE, CA 95747-5085
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95010522
CA
Other
Enumeration date
12/04/2018
Last updated
12/30/2021
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