Genesis Villalta Clark
Genesis Villalta Clark is a Case Manager/Care Coordinator in Oceanside, California. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
3605 Vista Way Ste 258Oceanside, CA 92056-4565
Phone: (760) 758-1480
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Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X |
|---|---|
| Case Manager/Care Coordinator | Taxonomy 171M00000X |
Record details
| NPI number | 1851165716 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 10, 2023 |
| Last updated in NPPES | April 24, 2025 |
| Certification date | April 24, 2025 |
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