Individual
KAMILA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7171 S CHEROKEE TRL, 2232, AURORA, CO 80016-2287
(818) 429-1070
Mailing address
7171 S CHEROKEE TRL, 2232, AURORA, CO 80016-2287
(818) 429-1070
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1640123
CO
163WC0200X
Critical Care Medicine Registered Nurse
1001115067
CA
Other
Enumeration date
08/23/2016
Last updated
08/23/2016
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