MICHAEL CLENSHAW
Individual Provider (NPI-1)
Active
Provider Information
- NPI Number
1942798145- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 11211 VISTA DEL LAGO, SANTA ANA, CA, 927055903
- Phone
- (714) 552-0420
Specialties & Taxonomies
Unknown
Primary License: CA #A197884
All Addresses
MAILING
11234 ANDERSON ST
LOMA LINDA, CA, 923501716