Individual
CLEMENTE POLINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1700 BROADWAY STE 500, OAKLAND, CA 94612-2141
(510) 273-4200
(510) 273-8340
Mailing address
5674 STONERIDGE DR STE 207, PLEASANTON, CA 94588-8592
(925) 520-0005
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/27/2017
Last updated
10/27/2017
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