Individual
CLEMSON RINO FERNANDEZ RILLERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1870 YOSEMITE AVE, APT. 101, SIMI VALLEY, CA 93063-4272
(347) 218-3379
Mailing address
1870 YOSEMITE AVE, APT. 101, SIMI VALLEY, CA 93063-4272
(347) 218-3379
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
39731
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y3565534
CALIFORNIA DRIVER'S LICENSE
CA
Enumeration date
01/07/2017
Last updated
01/07/2017
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