Individual
MS. CLARA EDOBOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1500 W WEST COVINA PKWY, WEST COVINA, CA 91790-2708
(626) 430-9996
Mailing address
777 FLOWER ST STE A, GLENDALE, CA 91201-3000
(818) 637-2000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP13063
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP13063
—
CA
05
—
RN524986
—
CA
Enumeration date
08/04/2006
Last updated
04/28/2011
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