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Jack Clendenin, NURSE PRACTITIONER
NPI 1124210513 · on the registry since 2007
Practice
- Address
- 581 4th Ave
Gustine, CA 95322 - Phone
- (209) 854-1120
- Fax
- (209) 854-1118
- Organisation at this address
- Jose A Garcia Do Medical Professional Corporation
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Family Nurse Practitioner
363LF0000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-08-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California