Individual
BRANDI CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1450 UNIVERSITY AVE STE F-508, RIVERSIDE, CA 92507-4467
(951) 488-4253
Mailing address
1450 UNIVERSITY AVE # F-508, RIVERSIDE, CA 92507-4467
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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