Individual
CHRISTEN LEROY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8019 COMPTON AVE, LOS ANGELES, CA 90001-3409
(323) 586-7333
Mailing address
8019 COMPTON AVE, LOS ANGELES, CA 90001-3409
(323) 586-7333
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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