Individual
MR. CLIFTON DESHAUN MALCOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
66659 EL DORADO PL, DESERT HOT SPRINGS, CA 92240-6977
(760) 660-3961
Mailing address
66659 EL DORADO PL, DESERT HOT SPRINGS, CA 92240-6977
(760) 660-3961
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
1996
CA
Other
Enumeration date
04/15/2019
Last updated
04/15/2019
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