Individual
CHARLES CLEMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 READING AVE, JONESVILLE, MI 49250-1136
(517) 264-2244
Mailing address
770 RIVERSIDE AVE STE 11, ADRIAN, MI 49221-1465
(517) 264-2244
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/02/2018
Last updated
11/02/2018
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