LIONEL HERBERT CLACK

COVINA, CA
NPI1366089377
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: CA  724717)
Enumeration Date2019-12-09
Last Update Date2019-12-09
Business Address
LIONEL HERBERT CLACK
1161 E COVINA BLVD
COVINA, CA 91724-1523
Phone number: 626-859-5275
Mailing Address
LIONEL HERBERT CLACK
14094 MARICOPA RD
VICTORVILLE, CA 92392-9777
Phone number: 760-792-1212
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