Individual
JONATHAN RYAN CLAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
14280 RICAREE RD, APPLE VALLEY, CA 92307-5724
(760) 646-7399
Mailing address
14280 RICAREE RD, APPLE VALLEY, CA 92307-5724
(760) 646-7399
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95028526
CA
Other
Enumeration date
12/28/2023
Last updated
12/28/2023
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