CLARENCE WILSON

SAN RAFAEL, CA
NPI1447061569
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2025-01-17
Last Update Date2025-02-05
Business Address
Mr. CLARENCE WILSON
65 MITCHELL BLVD, SUITE 104
SAN RAFAEL, CA 94903
Phone number: 413-455-8481
Mailing Address
Mr. CLARENCE WILSON
65 MITCHELL BLVD, SUITE 104
SAN RAFAEL, CA 94903
Phone number: 413-455-8481