Individual
CHELSEA LA' BREA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
7700 E PARHAM RD, RICHMOND, VA 23294-4301
(804) 747-5600
Mailing address
901 MCDONOUGH ST APT 416, RICHMOND, VA 23224-2289
(402) 738-4505
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
199323
VA
246ZS0410X
Surgical Technologist
173540
VA
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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