Individual
ANTHONY THOMAS CLEMENTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1350 E GRAND AVE, ARROYO GRANDE, CA 93420-2422
(805) 474-2154
Mailing address
784 HIGH ST, SAN LUIS OBISPO, CA 93401-5243
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-UGENLR
CA
Other
Enumeration date
04/10/2018
Last updated
10/01/2024
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