Individual
IAN CLARKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4867 W SUNSET BLVD, LOS ANGELES, CA 90027-5969
(323) 783-4011
Mailing address
40982 BANKHALL ST, LAKE ELSINORE, CA 92532-1641
(951) 202-8474
Taxonomy
Speciality
Code
Description
License number
State
2279P3900X
Neonatal/Pediatric Registered Respiratory Therapist
Primary
—
—
Other
Enumeration date
11/01/2018
Last updated
11/01/2018
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