Individual
HERRYANSON CLIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
425 E HAWTHORNE ST, ONTARIO, CA 91764-1750
(909) 294-1850
Mailing address
425 E HAWTHORNE ST, ONTARIO, CA 91764-1750
(909) 294-1850
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
51074
CA
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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