Individual
MS. TONYA MADISON O'CLAIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
14790 CHERRY ST, GUERNEVILLE, CA 95446-9320
(707) 869-0395
Mailing address
14790 CHERRY ST, GUERNEVILLE, CA 95446-9320
(707) 869-0395
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
278663
CA
163WG0600X
Gerontology Registered Nurse
Primary
278663
CA
Other
Enumeration date
11/29/2009
Last updated
11/29/2009
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