Individual
BILL CLEMON JOSEPH CLEMON X
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4150 LATHAM ST STE A, RIVERSIDE, CA 92501-1735
(949) 688-7002
Mailing address
1274 S WATERMAN AVE STE 110, SAN BERNARDINO, CA 92408-2844
(909) 659-6255
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
06/17/2022
Last updated
06/17/2022
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