Individual
JAPERA EASTERLING CLAVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9636 RONALDO FALLS WAY, ELK GROVE, CA 95624-4148
(916) 420-4659
Mailing address
9636 RONALDO FALLS WAY, ELK GROVE, CA 95624-4148
(916) 420-4659
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-18-49455
CA
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1239857
KAISER
CA
Enumeration date
05/25/2018
Last updated
03/14/2024
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