| Miss Charisma Marie Clark, LVN | |
|
4281 Katella Ave Ste 120, Los Alamitos, CA 90720-3592 | |
| (714) 503-6850 | |
| Not Available |
| Full Name | Miss Charisma Marie Clark |
|---|---|
| Gender | Female |
| Speciality | Licensed Vocational Nurse |
| Location | 4281 Katella Ave Ste 120, Los Alamitos, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205191475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | VN209103 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Charisma Marie Clark, LVN 4281 Katella Ave Ste 120, Los Alamitos, CA 90720-3592 Ph: (714) 503-6850 | Miss Charisma Marie Clark, LVN 4281 Katella Ave Ste 120, Los Alamitos, CA 90720-3592 Ph: (714) 503-6850 |
Donna Jean Osborn, Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 4281 Katella Ave, 120, Los Alamitos, CA 90720 Phone: 714-503-6850 | |
Amber Christina Powell, LVN Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 4281 Katella Ave, Suite 120, Los Alamitos, CA 90720 Phone: 714-503-6850 | |
Matthew Keith Mcphetridge, LVN Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 4281 Katella Ave, Suite 120, Los Alamitos, CA 90720 Phone: 714-503-6850 | |
Vanessa Reynolds, LVN Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 10662 1/2 Chestnut St, Los Alamitos, CA 90720 Phone: 562-225-5559 Fax: 562-225-5559 |