Search › California › 172V00000X
Clarence Wilson
NPI 1447061569 · on the registry since 2025 · sole proprietor
Practice
- Address
- 65 Mitchell Blvd, Suite 104
San Rafael, CA 94903 - Phone
- (413) 455-8481
- Organisation at this address
- Integrated Community Services
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 19
Registry record
- Primary taxonomy
- 172V00000X
172V00000X
- Sex
- Male
- Record last updated
- 2025-02-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California