Individual
MRS. THERESA CLEMENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
36000 EUCLID AVE, WILLOUGHBY, OH 44094-4625
(440) 602-6430
Mailing address
7389 TROTWOOD DR, PAINESVILLE, OH 44077-2259
(440) 350-9386
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.00.1000
OH
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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