Individual provider · Type 1 NPI

Shawnice Luetricia Clark

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

NPI number 1922951987 Active

Practice location

10959 Mesa Linda St
Victorville, CA 92392-4803

Call (760) 605-1040 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X00010173 (CA)

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 1922951987

Shawnice Luetricia Clark's National Provider Identifier is 1922951987, issued on Feb 18, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Victorville, CA. The record was last updated on Feb 22, 2026.