Carolyn Bentley Clark RN

NPI 1558639534 - Registered Nurse - 163W00000X

NPI Details
NPI 1558639534
Gender Female
Enumeration Date 12/06/2011
Last Updated 12/06/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
261 E WILLOW ST
SUITE C
LONG BEACH CA, 90806-2637, US
Phone (562) 290-0212
Fax
Business Location
261 E WILLOW ST
SUITE C
LONG BEACH CA, 90806-2637, US
Phone (562) 290-0212
Fax
Toxanomy
Taxonomy Code 163W00000X
License State California
License Number 801931
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According to our database, Carolyn Bentley Clark RN NPI is 1558639534, taxonomy code is 163W00000X and license number is 801931, license state is located at California. Carolyn Bentley Clark RN physically located at 261 E Willow St, Long Beach CA, 90806-2637. NPI Number Carolyn Bentley Clark RN has the Individual type.

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1558639534 NPI number is provided on an as is basis without warranty of any kind. 1558639534 is maintained by the National Plan & Provider Enumeration System. The contents of Carolyn Bentley Clark RN are for informational purposes only.