Individual
XANDER MATHIS CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15315 STAGECOACH RD, KLAMATH FALLS, OR 97601-9053
(541) 281-9676
Mailing address
15315 STAGECOACH RD, KLAMATH FALLS, OR 97601-9053
(541) 281-9676
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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