Individual
CLARISSA TAN CAWALING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9889 MAGNOLIA AVE STE A, RIVERSIDE, CA 92503-3581
(951) 542-3900
Mailing address
9889 MAGNOLIA AVE STE A, RIVERSIDE, CA 92503-3581
(951) 542-3900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95106669
CA
363L00000X
Nurse Practitioner
95021755
CA
363LF0000X
Family Nurse Practitioner
Primary
95021755
CA
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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