Jaylesse Clark

NPI 1831834332 · on the registry since 2022 · sole proprietor

Practice

Address: 16379 E Preserve Loop Unit 2150
Chino, CA 91708
Phone: (725) 724-6914
Organisation at this address: Atria Holding Co
Angel Concierge Services
316 Management Group, Llc
Behavioral Education Systems & Technologies Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 103K00000X
103K00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-04-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California