Individual
BILLY CLARK DUATIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
510 17TH ST, OAKLAND, CA 94612-1553
(510) 359-3516
Mailing address
280 CAPITOL AVE, SAN FRANCISCO, CA 94112-2931
(510) 359-3516
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95253885
CA
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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