Individual
MRS. INGRIS ISABEL CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5256 MISSION BLVD, RUBIDOUX, CA 92509-4624
(951) 955-5333
(951) 955-5329
Mailing address
4065 COUNTY CIRCLE DR, RIVERSIDE, CA 92503-3410
(951) 358-5438
(951) 358-5019
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/19/2007
Last updated
11/19/2007
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