Individual
BRUCE CLEMENTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4316 MOUNTAINLEAF CT, VIRGINIA BEACH, VA 23462-5743
(757) 802-1799
(757) 961-1863
Mailing address
4316 MOUNTAINLEAF CT, VIRGINIA BEACH, VA 23462-5743
(757) 802-1799
(757) 961-1863
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
T69740190
VA
343900000X
Non-emergency Medical Transport (VAN)
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Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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