STEPHANIE CLARK-POVEDA

FONTANA, CA
NPI1881761120
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA17035)
Enumeration Date2006-11-30
Last Update Date2021-12-01
Business Address
STEPHANIE CLARK-POVEDA PA
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 909-427-3910
Mailing Address
STEPHANIE CLARK-POVEDA PA
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 909-427-3910