GLENN ALAN CLARK

BRAWLEY, CA
NPI1568632982
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: CA  NA3696)
Enumeration Date2008-03-03
Last Update Date2019-02-08
Business Address
GLENN ALAN CLARK CRNA
207 W LEGION RD
BRAWLEY, CA 92227
Phone number: 760-351-3333
Mailing Address
GLENN ALAN CLARK CRNA
PO BOX 7096
STOCKTON, CA 95267-0096
Phone number: 209-956-7725