ANTHONY CLARK

SAN DIEGO, CA
NPI1902211634
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2014-06-20
Last Update Date2014-06-24
Business Address
-- ANTHONY CLARK
2424 RENDOVA RD
SAN DIEGO, CA 92155-5041
Phone number: 619-537-3941
Mailing Address
-- ANTHONY CLARK
2931 GABRIELSON AVE
SAN DIEGO, CA 92111-5814
Phone number: 760-401-7807