DOMINIC CLARK
Licensed Vocational Nurse
Active
Individual
NPI: 1124872536
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | Yes | 736986 (CA) |
Frequently Asked Questions
NPI 1124872536 is the National Provider Identifier for DOMINIC CLARK, a Licensed Vocational Nurse provider located in Los Angeles, CA. This NPI was enumerated on April 12, 2024.
DOMINIC CLARK practices at 1670 E 120TH ST, Los Angeles, CA 90059.
Quick Facts
- NPI
- 1124872536
- Type
- Individual
- Enumerated
- Apr 12, 2024
- Last Updated
- Apr 12, 2024
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