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Brent Clevenger
Private Vehicle in Snowflake, Arizona
NPI 1710612155

Brent Clevenger is a Private Vehicle based in Snowflake, AZ. Brent Clevenger practices in Snowflake, AZ. The NPI Number for Brent Clevenger is 1710612155 and holds a License No. D01848528 (Arizona).

The current practice location address for Brent Clevenger is 287 W Spruce, Snowflake, AZ and can be reached out via phone at 520-704-0937.

Location: 287 W Spruce, Snowflake, AZ, 85937-0933
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710612155
Provider Name
Brent Clevenger
Credential
Provider Entity Type
Individual
Gender
Male
Address
287 W Spruce, Snowflake, AZ, 85937-0933
Phone Number
520-704-0937
Fax Number
Provider Enumeration Date
07/20/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
287 W Spruce
City
Snowflake
State
Arizona
Zip
85937-8593
Phone Number
520-704-0937
Fax Number
person
Provider Business Mailing Address Details
Address
287 W Spruce
City
Snowflake
State
Arizona
Zip
85937-8593
Phone Number
520-704-0937
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
D01848528 (Arizona)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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