Individual
EMERALD MCLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1242 MONTEREY ST STE 130, SAN LUIS OBISPO, CA 93401-0808
(805) 550-9007
Mailing address
2721 SANTA BARBARA AVE, CAYUCOS, CA 93430-1472
(805) 550-9007
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95011747
CA
Other
Enumeration date
05/18/2019
Last updated
05/18/2019
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