MISS Charisma Marie Clark, LVN
NPI #1205191475 in Los Alamitos, California
Provider Information
- NPI Number
- 1205191475
- Entity Type
- Individual
- Name
- MISS Charisma Marie Clark, LVN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Vocational Nurse
- Credential
- LVN
- Enumeration Date
- Jul 12, 2012
- Last Updated
- Jul 12, 2012
Practice Location
- Address
- 4281 KATELLA AVE STE 120
- City
- Los Alamitos
- State
- California
- ZIP Code
- 90720-3592
- Phone
- (714) 503-6850
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Vocational Nurse |
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