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NAMUUN CLIFFORD FNP

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

Registrant NPI Number: 1639439193

Individual Registrant:
 NAMUUN  CLIFFORD FNP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
630 DRAKE AVE  SAUSALITO, CA 94965-1107 US
Tel: 415-339-8813  Fax: 415-339-8814

Contact information for business:
630 DRAKE AVE  SAUSALITO, CA 94965-1107 US
Tel: 415-339-8813  Fax: --

Registration Information:
NPI: 1639439193
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
CA95007572

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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