Organization
J M CLEMENTE CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J MARK CLEMENTE (OWNER / PRESIDENT)
(330) 392-7072
Entity
Organization
Contact information
Practice address
180 N PARK AVE, WARREN, OH 44481-1126
(330) 392-7069
(330) 392-7071
Mailing address
3100 NILES RD SE, WARREN, OH 44484-3276
(330) 392-7072
(330) 392-7074
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2939388
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2939388
—
OH
Enumeration date
09/12/2013
Last updated
09/12/2013
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