Individual
DENNIS C CLAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
182 SHADYWOOD AVE, LATHROP, CA 95330-9185
(408) 393-5158
Mailing address
182 SHADYWOOD AVE, LATHROP, CA 95330-9185
(408) 393-5158
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9521528
CA
163W00000X
Registered Nurse
Primary
95251528
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F8547039
KAIZER
CA
Enumeration date
10/25/2021
Last updated
10/25/2021
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