Individual
CLINTON WILLIAM HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
4445 MAGNOLIA AVE, RIVERSIDE, CA 92501-4199
(951) 788-3000
Mailing address
29547 PLEASANT PASEO CV, SUN CITY, CA 92585-9269
(951) 575-6044
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95015536
CA
Other
Enumeration date
10/09/2020
Last updated
10/09/2020
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