RANDY GENE CLARK

LANCASTER, CA
NPI1063939817
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2017-08-23
Last Update Date2022-07-21
Business Address
RANDY GENE CLARK
45335 SIERRA HWY
LANCASTER, CA 93534
Phone number: 661-949-8599
Mailing Address
RANDY GENE CLARK
45335 SIERRA HWY
LANCASTER, CA 93534-1611
Phone number: 661-949-8599