Individual provider · Type 1 NPI

Courtney Ellisse Clark

Student in an Organized Health Care Education/Training Program · Indio, CA

NPI number 1437978616 Active

Practice location

47915 Oasis St
Indio, CA 92201-6950

Call (760) 863-8632 Map

Mailing address

355 Village Dr
Blythe, CA 92225-1309

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1437978616

Courtney Ellisse Clark's National Provider Identifier is 1437978616, issued on Oct 7, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Indio, CA. The record was last updated on Oct 7, 2024.