Individual
CORINA CLARK-DERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
500 SAN PABLO AVE, ALBANY, CA 94706-1103
(510) 204-8130
Mailing address
3687 MT DIABLO BLVD, S, LAFAYETTE, CA 94549-3717
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
772499
CA
363LF0000X
Family Nurse Practitioner
Primary
21609
CA
Other
Enumeration date
06/14/2012
Last updated
09/16/2016
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