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Individual

ERICA CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LVN

Contact information

Practice address
24969 MULHOLLAND HWY, CALABASAS, CA 91302-2366
(954) 237-5026
(954) 607-1211
Mailing address
24969 MULHOLLAND HWY, CALABASAS, CA 91302-2366
(954) 237-5026
(954) 607-1211

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
690846
CA

Other

Enumeration date
10/26/2018
Last updated
10/26/2018
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