Individual
CLARRISA NABANOBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1816 SCENIC AVE, BERKELEY, CA 94709-1324
(818) 797-8014
Mailing address
1816 SCENIC AVE, BERKELEY, CA 94709-1324
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
752778
CA
Other
Enumeration date
11/03/2025
Last updated
11/09/2025
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