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Individual

MRS. BARBARA JANET CLARKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
11060 SAN LUIS REY DR, VALLEY CENTER, CA 92082-3127
(760) 742-3142
Mailing address
11060 SAN LUIS REY DR, VALLEY CENTER, CA 92082-3127
(760) 742-3142

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
267989
CA
163WH0200X
Home Health Registered Nurse
267989
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
015370
MEDICAL EPS
CA
01
23310337
MEDICAL PIN
CA
01
RVN003670
MEDICAL
CA
Enumeration date
07/18/2008
Last updated
07/18/2008
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