HENRY R CLARK

INDIO, CA
NPI1700771235
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
Additional Taxonomies225400000X Rehabilitation Practitioner
Enumeration Date2025-06-12
Last Update Date2025-11-12
Business Address
HENRY R CLARK
83912 AVENUE 45 STE 9
INDIO, CA 92201-3338
Phone number: 760-977-8376
Mailing Address
HENRY R CLARK
44199 MONROE ST STE 9
INDIO, CA 92201-3096
Phone number: 760-863-7280
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