Individual
ANGELIA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6842 BLOWING WIND WAY, CITRUS HEIGHTS, CA 95621-4786
(916) 699-3939
Mailing address
6330 SUNRISE BLVD STE 1052, CITRUS HEIGHTS, CA 95610-5905
(916) 699-3939
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251B00000X
Case Management Agency
—
—
342000000X
Transportation Network Company
—
—
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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