Individual
MS. CHARLENE YVONNE CLEMENTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 INDIANA AVE, WINSLOW, AZ 86047-2169
(928) 289-4646
Mailing address
500 INDIANA AVE, WINSLOW, AZ 86047-2169
(928) 289-4646
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
52114
AZ
207Q00000X
Family Medicine Physician
Primary
R73838
AZ
Other
Enumeration date
06/03/2013
Last updated
05/22/2016
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