Clark, Alice

Clark, Alice is an sole proprietor health care provider with primary practice located at 1776 Fair Ave , Simi Valley CA 93063-3228. She recently has only one registered license in Other Service Providers / Lactation Consultant, Non-RN, which is considered as her primary health care specialty. Clark, Alice can be contacted via phone (818) 932-9906.

Contact Information

Primary practice address
1776 Fair Ave Simi Valley CA 93063-3228
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Lactation Consultant, Non-RN 174N00000X 11136949 California

Profile Details

NPI number 1821374372
LBN Legal business name Clark, Alice
Credentials IBCLC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 28th, 2011
Last updated Oct 28th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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