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MRS. INGRIS ISABEL CLARK

>> Home Health Aide >> Nursing Service Related Providers

Registrant NPI Number: 1851572804

Individual Registrant:
MRS. INGRIS ISABEL CLARK 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
5256 MISSION BLVD  RUBIDOUX, CA 92509-4624 US
Tel: 951-955-5333  Fax: 951-955-5329

Contact information for business:
4065 COUNTY CIRCLE DR  RIVERSIDE, CA 92503-3410 US
Tel: 951-358-5438  Fax: 951-358-5019

Registration Information:
NPI: 1851572804
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y374U00000XNursing Service Related Providers
Home Health Aide

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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