Individual
EMMA KATHLEEN KLECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
250 LOCUST ST, SANTA CRUZ, CA 95060-3813
(831) 427-3500
Mailing address
PO BOX 542, SANTA CRUZ, CA 95061-0542
(831) 427-3500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95012350
CA
Other
Enumeration date
08/06/2019
Last updated
10/19/2021
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