Individual
MISS CLAUDIA DINORAH PROVEDOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1141 PEAR TREE LN, NAPA, CA 94558-6484
(707) 254-1770
Mailing address
1141 PEAR TREE LN, NAPA, CA 94558-6484
(707) 254-1770
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
817655
CA
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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