Mr. Clarence Wilson
Mr. Clarence Wilson is a Community Health Worker in San Rafael, California. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
65 Mitchell Blvd Ste 104San Rafael, CA 94903
Phone: (413) 455-8481
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X |
|---|
Record details
| NPI number | 1447061569 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 17, 2025 |
| Last updated in NPPES | February 5, 2025 |
| Certification date | February 5, 2025 |
| Mailing address | 65 Mitchell Blvd, Suite 104, San Rafael, CA 94903 |
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