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Ms. Shanna La Rhonda Clark
Attendant Care Provider in Escondido, California
NPI 1861126088

Shanna La Rhonda Clark is an Attendant Care Provider based in Moreno Valley, CA and is specialized in Attendant Care Provider. Shanna La Rhonda Clark practices in Escondido, CA. The NPI Number for Shanna La Rhonda Clark is 1861126088 and holds a License No. (California).

The current practice location address for Shanna La Rhonda Clark is 1001 S Hale Ave Spc 54, Escondido, CA and can be reached out via phone at 858-729-8295.

Location: 1001 S Hale Ave Spc 54, Escondido, CA, 92553-4946
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861126088
Provider Name
Shanna La Rhonda Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
1001 S Hale Ave Spc 54, Escondido, CA, 92553-4946
Phone Number
858-729-8295
Fax Number
Provider Enumeration Date
07/13/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
B8422966 01 DRIVER LICENSE
institution
Provider Business Practice Location Address Details
Address
1001 S Hale Ave Spc 54
City
Escondido
State
California
Zip
92029-2177
Phone Number
858-729-8295
Fax Number
person
Provider Business Mailing Address Details
Address
1001 S Hale Ave Spc 54
City
Escondido
State
California
Zip
92029-2177
Phone Number
858-729-8295
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Attendant Care Provider
Taxonomy
3747A0650X
License No.
()
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
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