Clark, Teresa Louise

Clark, Teresa Louise is an sole proprietor health care provider with primary practice located at 2121 E 1St St 306, Long Beach CA 90803-2418. She recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as her primary health care specialty. Clark, Teresa Louise can be contacted via phone (661) 675-5177.

Contact Information

Primary practice address
2121 E 1St St 306 Long Beach CA 90803-2418
Phone: (661) 675-5177
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Vocational Nurse 164X00000X 258115 California

Profile Details

NPI number 1750624904
LBN Legal business name Clark, Teresa Louise
Credentials Licensed Visiting Nurse (LVN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 5th, 2013
Last updated Apr 23rd, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1750624904 NPPES
California Other 164W LICENSED VOCATIONAL NURSE

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