Individual
AMY E CLEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3920 LELAND ST APT F3, SAN DIEGO, CA 92106-1048
(704) 604-2525
Mailing address
3920 LELAND ST APT F3, SAN DIEGO, CA 92106-1048
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
03/06/2012
Last updated
03/06/2012
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