TATIANNA CLARK

RIVERSIDE, CA
NPI1104692144
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CA  63689)
Enumeration Date2023-11-30
Last Update Date2023-11-30
Business Address
TATIANNA CLARK
3940 POLK ST UNIT A
RIVERSIDE, CA 92505-1998
Phone number: 818-632-4265
Mailing Address
TATIANNA CLARK
3940 POLK ST UNIT A
RIVERSIDE, CA 92505-1998
Phone number:
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