Individual
CLEMENTINE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
165 W HOSPITALITY LN, STE 1, SAN BERNARDINO, CA 92408-3334
(909) 885-0282
(909) 889-7367
Mailing address
3050 E AIRPORT WAY, LONG BEACH, CA 90806-2404
(562) 426-9661
(562) 426-4227
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10434
CA
Other
Enumeration date
11/17/2006
Last updated
03/07/2023
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