Individual
DR. CARISSA CLAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1043 EMERALD BAY RD, SOUTH LAKE TAHOE, CA 96150-6210
(530) 544-1445
Mailing address
1043 EMERALD BAY RD, SOUTH LAKE TAHOE, CA 96150-6210
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
85267
CA
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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