Individual
CLEMENT C OBINWANNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13049 CHEJU CIR, EASTVALE, CA 92880-3901
(909) 936-6542
Mailing address
13049 CHEJU CIR, EASTVALE, CA 92880-3901
(909) 936-6542
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT37385
CA
Other
Enumeration date
12/26/2019
Last updated
12/26/2019
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