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Quinnita Christine Clark

Case Manager/Care Coordinator in San Bernardino, CA. Individual provider (NPI-1).

NPI number1861692212
StatusActive
Last updated in NPPESJul 24, 2007

Details

NPI
1861692212
Entity type
Individual (NPI-1)
Name
Ms. Quinnita Christine Clark
Sex
Female
Sole proprietor
No
Enumeration date
Jul 24, 2007
Last updated
Jul 24, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

700 E Gilbert St Bldg 4
San Bernardino, CA 92415-1003

Phone 909-387-7194 · Fax 909-387-7100

Mailing address

700 E Gilbert St Bldg 4
San Bernardino, CA 92415-1003

Phone 909-387-7194 · Fax 909-387-7100

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