Whalio Doctors

NPI 1518234327

Leslie Erin Clark, RNNP

Practitioner Licensed Practical Nurse San Jose, CA

Practice location

Address
5671 Santa Teresa Blvd 105, San Jose, CA 95123-6512
Phone
(408) 284-2280
Mailing address
39865 Cedar Blvd 343, Newark, CA 94560-5352

Registered specialties (2)

Licensed Practical Nurse Primary
Nursing Service Providers Taxonomy 164W00000X Licence 20397 (CA)
Registered Nurse
Nursing Service Providers Taxonomy 163W00000X Licence 589440 (CA)

Registry record

NPI
1518234327
Entity type
Individual
Sex (as registered)
Female
NPI issued
22 Nov 2011
Record last updated
22 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.