Individual
CLIFFORD VAIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
795 WILLOW RD # MPD122, MENLO PARK, CA 94025-2539
(650) 313-8855
Mailing address
824 8TH AVE, REDWOOD CITY, CA 94063-4231
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
753518
CA
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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