Individual
EDUARDO F CLEMENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
3278 MITCHELL BLVD, MOODY A F B, GA 31699-1500
(229) 257-5188
Mailing address
3807 SEDGEFIELD DR, VALDOSTA, GA 31605-6440
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
05/20/2009
Last updated
12/07/2012
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