Male or Other

James Clayton

Private Vehicle in Minneapolis, MN(View on Map)

Full Name

James Clayton

NPI Number

1891354791

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/13/2019

Specialties

(Taxonomies)

Code

347C00000X
101Y00000X
253Z00000X

Primary Taxonomy

Yes
No
No

Contact
Information

Purpose

Mailing
Location

Address

1611 E 32ND ST
1611 E 32ND ST

City

Minneapolis
Minneapolis

State

MN
MN

Postal Code

55407-1828
55407-1828

Country

US
US

Telephone Number

(651) 795-9256
(651) 795-9256

Identifiers

Identifier

1245879
47551326

Identifier State

Unknown
MN

Identifier Issuer

SHYNE BRIGHT SERVICES
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/20/2019

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