Individual
CLEM-EHROS MANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1030 W WARNER AVE, SANTA ANA, CA 92707-3147
(714) 546-6450
Mailing address
2578 E CHAPMAN AVE, FULLERTON, CA 92831-3629
(714) 552-5813
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95035256
CA
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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