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MRS. SHARON DENISE CLAY MATEMAVI NURSE PRACTITIONER

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1144213091

Individual Registrant:
MRS. SHARON DENISE CLAY MATEMAVI NURSE PRACTITIONER
Gender: F
Not Sole Proprietor

Location and contact information for practice:
34875 POURROY RD APT 1408  WINCHESTER, CA 92596-8184 US
Tel: 281-795-3945  Fax: --

Contact information for business:
34875 POURROY RD APT 1408  WINCHESTER, CA 92596-8184 US
Tel: 281-795-3945  Fax: --

Registration Information:
NPI: 1144213091
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
TX257939
N363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
TX35300722
Y363LP0808XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
CA95003191

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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