Individual
MANACEY CLERMONT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7125 E CESAR CHAVEZ BLVD, YUMA, AZ 85349
(928) 627-8871
Mailing address
7125 E CESAR CHAVEZ BLVD, SAN LUIS, AZ 85349
(928) 627-8871
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-11839
NC
363A00000X
Physician Assistant
036933
NJ
363A00000X
Physician Assistant
Primary
8534
AZ
363A00000X
Physician Assistant
CV21021471021
IN
363A00000X
Physician Assistant
EL07785
NH
363AM0700X
Medical Physician Assistant
000682-P.A.
PR
363AM0700X
Medical Physician Assistant
PACN63
FL
Other
Enumeration date
08/18/2020
Last updated
11/06/2025
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