Individual
CLARA CHRISTINE DESHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 568-4330
(760) 568-6470
Mailing address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 568-4330
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95013084
CA
363LA2100X
Acute Care Nurse Practitioner
95013084
CA
Other
Enumeration date
10/16/2019
Last updated
10/01/2020
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