KELLIE CLARK

SAN DIEGO, CA
NPI1356962138
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  209282)
Enumeration Date2020-05-02
Last Update Date2020-05-02
Business Address
KELLIE CLARK
734 10TH AVE
SAN DIEGO, CA 92101-6502
Phone number: 619-239-4663
Mailing Address
KELLIE CLARK
734 10TH AVE
SAN DIEGO, CA 92101-6502
Phone number: 619-239-4663
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