Individual
CLINTON SPELLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3050 BEACON BLVD, WEST SACRAMENTO, CA 95691-3467
(916) 594-3148
Mailing address
9516 APPALACHIAN DR, SACRAMENTO, CA 95827-1109
(916) 612-7748
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
10/22/2024
Last updated
04/17/2025
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