Individual
MR. CLAYTON MCINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
6622 IRIS DR, LOS ANGELES, CA 90068-2720
(818) 472-3857
Mailing address
6622 IRIS DR, LOS ANGELES, CA 90068-2720
(818) 472-3857
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
567657
CA
Other
Enumeration date
06/02/2016
Last updated
06/02/2016
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