Individual
MS. CLARA BERLANGA OCAMPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
42485 ROUNDUP DR, AGUANGA, CA 92536-9340
(619) 307-4654
Mailing address
348 S GILBERT ST, HEMET, CA 92543-5959
(951) 400-6257
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F6976183
DRIVER LICENSE
CA
Enumeration date
09/23/2019
Last updated
09/23/2019
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