Individual
CLARISSA ANGELA SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
5770 RIVERSIDE DR BLDG 601, MARCH ARB, CA 92518-1838
(951) 655-5157
Mailing address
58011 HIDDEN GOLD DR, YUCCA VALLEY, CA 92284-6290
(760) 333-6005
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
785953
CA
Other
Enumeration date
03/14/2020
Last updated
03/14/2020
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