Clark, Jessica

Clark, Jessica is an individual health care provider with primary practice located at 5664 Cahuenga Blvd , North Hollywood CA 91601-2103. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Other Service Providers / Health Educator, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Other Service Providers / Health Educator is her primary health care specialty. Clark, Jessica can be contacted via phone (818) 823-3930.

Contact Information

Primary practice address
5664 Cahuenga Blvd North Hollywood CA 91601-2103
Phone: (818) 823-3930
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Other Service Providers / Health Educator 174H00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1124572821
LBN Legal business name Clark, Jessica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2016
Last updated Aug 10th, 2016 - about 10 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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