Individual
DEBRA JEAN CLYDESDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.A.C.
Contact information
Practice address
23441 MADISON ST, SUITE 220, TORRANCE, CA 90505-4725
(310) 373-0191
Mailing address
1229 19TH ST APT B, SANTA MONICA, CA 90404-1238
(310) 663-9822
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
AC 08548
CA
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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