MEDICARE: CLOTILE STARNER NCTMB, CMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174H00000X	Health Educator		CA

General Provider Information

NPI Number	:	1982992483
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLOTILE STARNER NCTMB, CMT

Provider Business Mailing Address
First Line	:	PO BOX 55783
Second Line	:
City	:	HAYWARD
State	:	CA
Zip	:	94545-0783
Country	:	US
Telephone Number	:	510-782-7637
Fax Number	:	510-733-9173

Provider Business Practice Location Address
First Line	:	3319 CASTRO VALLEY BLVD
Second Line	:
City	:	CASTRO VALLEY
State	:	CA
Zip	:	94546-5601
Country	:	US
Telephone Number	:	510-782-7637
Fax Number	:	510-733-9173

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2011
Last Update Date	:	07/18/2011

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