Organization
SHELLY CLANTON, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY CLANTON (PRESIDENT/OWNER)
(480) 830-3092
Entity
Organization
Contact information
Practice address
2151 N POWER RD, MESA, AZ 85215-2971
(480) 830-3092
Mailing address
6321 N 51ST PL, PARADISE VALLEY, AZ 85253-4134
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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