Individual
TONI MACCLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
35 CASA ST, SUITE 220, SAN LUIS OBISPO, CA 93405-1818
(805) 595-1808
(805) 595-1815
Mailing address
35 CASA ST, SUITE 220, SAN LUIS OBISPO, CA 93405-1818
(805) 595-1808
(805) 595-1815
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
5592
CA
Other
Enumeration date
12/05/2005
Last updated
05/01/2017
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