Organization
A LIGHT NURSING SERVICES INC
Active
Other names
MIND CLARITY
Organization subpart
No
Provider details
NPI number
Authorized official
TRISH WILLIAMS FORDE NURSE PRACTITIONER (CEO)
(310) 743-6544
Entity
Organization
Contact information
Practice address
14023 PARAMOUNT BLVD, PARAMOUNT, CA 90723-2605
(562) 331-8881
Mailing address
14023 PARAMOUNT BLVD, PARAMOUNT, CA 90723-2605
(562) 331-8881
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/12/2023
Last updated
05/22/2024
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