Clark, Jessica
Clark, Jessica is an individual health care provider with primary practice located at 5664 Cahuenga Blvd , North Hollywood CA 91601-2103. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Other Service Providers / Health Educator, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Other Service Providers / Health Educator is her primary health care specialty. Clark, Jessica can be contacted via phone (818) 823-3930.Contact Information
Primary practice address
5664 Cahuenga Blvd
North Hollywood CA 91601-2103
Phone: (818) 823-3930
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | ||
Other Service Providers / Health Educator | 174H00000X | ||
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X |
Profile Details
NPI number | 1124572821 |
---|---|
LBN Legal business name | Clark, Jessica |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 10th, 2016 |
Last updated | Aug 10th, 2016 - about 9 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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