MR. Jack Hurd Clendenin, NURSE PRACTITIONER
NPI #1124210513 in Gustine, California
Provider Information
- NPI Number
- 1124210513
- Entity Type
- Individual
- Name
- MR. Jack Hurd Clendenin, NURSE PRACTITIONER
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- NURSE PRACTITIONER
- Enumeration Date
- Aug 9, 2007
- Last Updated
- Aug 9, 2007
Practice Location
- Address
- 581 4TH AVE
- City
- Gustine
- State
- California
- ZIP Code
- 95322-1143
- Phone
- (209) 854-1120
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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