Individual
CLAIRE SUH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11398 KENYON WAY STE J, RANCHO CUCAMONGA, CA 91701-9229
(213) 247-5730
Mailing address
4724 GOLDEN RIDGE DR, CORONA, CA 92878-9417
(213) 247-5730
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
95017728
CA
363LF0000X
Family Nurse Practitioner
Primary
95017728
CA
Other
Enumeration date
07/09/2021
Last updated
09/23/2022
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