Individual
CLETUS JOSEPH MENKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
18221 E 17TH ST, SANTA ANA, CA 92705-2676
(714) 721-0501
Mailing address
22863 VIA CEREZA, MISSION VIEJO, CA 92691-2528
(714) 878-9240
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/26/2021
Last updated
03/26/2021
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