Individual
EMMA SHARON PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
212 W AVENIDA GAVIOTA, SAN CLEMENTE, CA 92672-5442
(949) 547-5968
Mailing address
212 W AVENIDA GAVIOTA, SAN CLEMENTE, CA 92672-5442
(949) 547-5968
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F01200740
CA
Other
Enumeration date
03/11/2020
Last updated
03/11/2020
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