Individual
JUAN PABLO CLAVIJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2406 BLUE RIDGE RD STE 170, RALEIGH, NC 27607-6680
(919) 782-4884
(919) 782-4885
Mailing address
2406 BLUE RIDGE RD STE 170, RALEIGH, NC 27607-6680
(919) 782-4884
(919) 782-4885
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-08352
NC
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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