Clark, Kimberly Corpuz-Agbalog

Clark, Kimberly Corpuz-Agbalog is an individual health care provider with primary practice located at 1825 E Thelborn St , West Covina CA 91791-1442. She recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as her primary health care specialty. Clark, Kimberly Corpuz-Agbalog can be contacted via phone (626) 915-3844.

Contact Information

Primary practice address
1825 E Thelborn St West Covina CA 91791-1442
Phone: (626) 915-3844
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Vocational Nurse 164X00000X 250826 California

Profile Details

NPI number 1033788187
LBN Legal business name Clark, Kimberly Corpuz-Agbalog
Credentials Licensed Visiting Nurse (LVN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2021
Last updated Jun 23rd, 2021 - about 4 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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