MR. Clarence Edward Wesley, PERSONAL PROVIDER
NPI #1184994675 in Madison Heights, Virginia
Provider Information
- NPI Number
- 1184994675
- Entity Type
- Individual
- Name
- MR. Clarence Edward Wesley, PERSONAL PROVIDER
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Residential Treatment Facility, Physical Disabilities
- Credential
- PERSONAL PROVIDER
- Enumeration Date
- Dec 30, 2011
- Last Updated
- Dec 30, 2011
Practice Location
- Address
- 2539 GALTS MILL RD
- Address 2
- 2539 GALTS MILL RD
- City
- Madison Heights
- State
- Virginia
- ZIP Code
- 24572-5808
- Phone
- (434) 316-4778
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Physical Disabilities |
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