CHRISTINA MARIE CLACK

LOS ANGELES, CA
NPI1699365601
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: CA  95015295)
Enumeration Date2021-01-23
Last Update Date2021-01-23
Business Address
CHRISTINA MARIE CLACK PNP (c)
808 W 58TH ST
LOS ANGELES, CA 90037-3632
Phone number: 323-541-1600
Mailing Address
CHRISTINA MARIE CLACK PNP (c)
3153 ROLLINGS AVE
THOUSAND OAKS, CA 91360-6433
Phone number: 805-990-3730
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