Individual
ERICA DANIELLE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1225 W HOBSONWAY, BLYTHE, CA 92225
(951) 701-4167
Mailing address
1225 W HOBSONWAY, BLYTHE, CA 92225
(951) 701-4167
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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