Individual
GUADALUPE KLISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
782 N MEDICAL CENTER DR E STE 211, CLOVIS, CA 93611-6808
(559) 451-3676
(559) 451-3680
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 443-2682
(559) 443-2681
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95022539
CA
Other
Enumeration date
08/05/2022
Last updated
08/22/2024
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