Individual
MR. BERTRAM LOUIS CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
592 RIO LINDO AVE, CHICO, CA 95926-1817
(530) 891-2999
Mailing address
592 RIO LINDO AVE, CHICO, CA 95926-1817
(530) 891-2999
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN115769
CA
Other
Enumeration date
12/06/2007
Last updated
12/06/2007
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