Individual
ANGELA CLAYBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2820 CARUSO LN, LANCASTER, CA 93536-6036
(661) 433-4786
Mailing address
2820 CARUSO LN, LANCASTER, CA 93536-6036
(661) 433-4786
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05
—
CA
Enumeration date
10/28/2022
Last updated
10/28/2022
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