Individual
MR. CLIFTON EDWARD TAVARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSN, RN
Contact information
Practice address
WEED ARMY COMMUNITY HOSPITAL, BLDG 166, RM 343, FT IRWIN, CA 92310
(760) 380-2036
Mailing address
WEED ARMY COMMUNITY HOSPITAL, BLDG 166, RM 343, FT IRWIN, CA 92310
(760) 380-2036
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
672219
TX
Other
Enumeration date
07/04/2006
Last updated
07/08/2007
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