Clark, Charisma Marie
Clark, Charisma Marie is an individual health care provider with primary practice located at 4281 Katella Ave Ste 120 , Los Alamitos CA 90720-3592. She recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as her primary health care specialty. Clark, Charisma Marie can be contacted via phone (714) 503-6850.Contact Information
Primary practice address
4281 Katella Ave Ste 120
Los Alamitos CA 90720-3592
Phone: (714) 503-6850
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Vocational Nurse | 164X00000X | VN209103 | California |
Profile Details
| NPI number | 1205191475 |
|---|---|
| LBN Legal business name | Clark, Charisma Marie |
| Credentials | Licensed Visiting Nurse (LVN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2012 |
| Last updated | Jul 12th, 2012 - 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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