Judy Clark
Community Health Worker in Santa Monica, CA. Individual provider (NPI-1).
NPI number1669915369
StatusActive
Last updated in NPPESNov 29, 2016
Details
- NPI
- 1669915369
- Entity type
- Individual (NPI-1)
- Name
- Judy Clark
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 29, 2016
- Last updated
- Nov 29, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
1328 2nd StSanta Monica, CA 90401-1122
Phone 310-394-6889
Mailing address
1328 2nd StSanta Monica, CA 90401-1122
Phone 310-394-6889
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Other Community Health Worker providers in Santa Monica, CA
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- Gaura GunnNPI 1235541137
All 47 Community Health Worker providers in Santa Monica · All 6,518 providers in Santa Monica
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