Individual
CATHERINE TAGULAO CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9320 COBBLE MOUNTAIN RD, BAKERSFIELD, CA 93313-5373
(661) 397-0885
(661) 855-4409
Mailing address
9320 COBBLE MOUNTAIN RD, BAKERSFIELD, CA 93313-5373
(661) 397-0885
(661) 855-4409
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
157208832
CA
310400000X
Assisted Living Facility
157208832
CA
Other
Enumeration date
05/13/2019
Last updated
05/15/2019
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