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MS. TONYA MADISON O'CLAIRE RN
Case Management >> Registered Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1649508862
Individual Registrant:MS. TONYA MADISON O'CLAIRE RN
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
14790 CHERRY ST GUERNEVILLE, CA 95446-9320 US
Tel: 707-869-0395 Fax: --
Tel: 707-869-0395 Fax: --
Contact information for business:
14790 CHERRY ST GUERNEVILLE, CA 95446-9320 US
Tel: 707-869-0395 Fax: --
Tel: 707-869-0395 Fax: --
Registration Information:
NPI: 1649508862
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 163WC0400X | Nursing Service Providers Registered Nurse Case Management | CA | 278663 |
| Y | 163WG0600X | Nursing Service Providers Registered Nurse | CA | 278663 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
