GENESIS VILLALTA CLARK
Rehabilitation Practitioner
Active
Individual
NPI: 1851165716
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | No | - |
| Rehabilitation Practitioner | 225400000X | Yes | - |
Frequently Asked Questions
NPI 1851165716 is the National Provider Identifier for GENESIS VILLALTA CLARK, a Rehabilitation Practitioner provider located in Oceanside, CA. This NPI was enumerated on November 10, 2023.
GENESIS VILLALTA CLARK practices at 3605 VISTA WAY STE 258, Oceanside, CA 92056.
Quick Facts
- NPI
- 1851165716
- Type
- Individual
- Enumerated
- Nov 10, 2023
- Last Updated
- Apr 24, 2025
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