Individual
VICTORIA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 W MISSION AVE, ESCONDIDO, CA 92025-1720
(760) 747-3424
(760) 747-3435
Mailing address
125 W MISSION AVE, ESCONDIDO, CA 92025-1720
(760) 747-3424
(760) 747-3435
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN95089079
CA
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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