Individual
MR. CLIFFORD RENE GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
TRANSPORTATION
Contact information
Practice address
16007 S DENVER AVE, GARDENA, CA 90248-2421
(310) 419-8112
Mailing address
PO BOX 3481, CULVER CITY, CA 90231-3481
(310) 419-8112
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
CA
Other
Enumeration date
09/08/2009
Last updated
09/14/2009
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