ILLYA CLEMMONS

LOS ANGELES, CA
NPI1457471005
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2007-03-29
Last Update Date2007-07-08
Business Address
-- ILLYA CLEMMONS
9512 ANZAC AVE
LOS ANGELES, CA 90002-2517
Phone number: 323-564-1864
Mailing Address
-- ILLYA CLEMMONS
10950 S CENTRAL AVE
LOS ANGELES, CA 90059-1024
Phone number: 310-563-5639