Clark, Callandra

Clark, Callandra is an individual health care provider with primary practice located at 20420 Victory Ct , Santa Clarita CA 91350-8531. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Clark, Callandra can be contacted via phone (661) 252-8987.

Contact Information

Primary practice address
20420 Victory Ct Santa Clarita CA 91350-8531
Fax: (661) 252-8987
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 669232 California
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 1713 California

Profile Details

NPI number 1023151594
LBN Legal business name Clark, Callandra
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2007
Last updated Mar 7th, 2023 - about 2 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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