Doctor Name: | MS. TONYA MADISON O'CLAIRE |
NPI Number: | 1649508862 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 278663 |
Business Practice Address: | 14790 Cherry St Guerneville, CA - 954469320 |
Business Phone Number: | 7078690395 |
Business Fax Number: | |
Mailing Address: | 14790 Cherry St, GUERNEVILLE |
State: | CA |
Postal Code: | 954469320 |
Phone Number: | 7078690395 |
Fax Number: | |
NPI Enumeration Date: | 11/29/2009 |
NPI Last Update Date: | 11/29/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC0400X |
License Number: | 278663 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Case Management |
Taxonomy Definition: |