MR. Clarence Wilson
NPI #1447061569 in San Rafael, California
Provider Information
- NPI Number
- 1447061569
- Entity Type
- Individual
- Name
- MR. Clarence Wilson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community Health Worker
- Enumeration Date
- Jan 17, 2025
- Last Updated
- Feb 5, 2025
Practice Location
- Address
- 65 MITCHELL BLVD, SUITE 104
- City
- San Rafael
- State
- California
- ZIP Code
- 94903
- Phone
- (413) 455-8481
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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