Individual
MICHELE MCLAVERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
379 CASTELLO RD, LAFAYETTE, CA 94549-5606
(856) 305-9981
Mailing address
379 CASTELLO RD, LAFAYETTE, CA 94549-5606
(856) 305-9981
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
851886
CA
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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