Individual
BARRY JOHN CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
20103 LAKE CHABOT RD, CASTRO VALLEY, CA 94546-5341
(510) 889-5015
(510) 881-1473
Mailing address
1201 GLEN COVE PKWY, #1109, VALLEJO, CA 94591-7171
(800) 346-0747
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/04/2005
Last updated
10/16/2012
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