THERESA BARK

BREA, CA
NPI1912464587
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95011303)
Enumeration Date2019-03-01
Last Update Date2019-03-01
Business Address
THERESA BARK FNP
445 S ASSOCIATED RD
BREA, CA 92821-5802
Phone number: 714-494-2626
Mailing Address
THERESA BARK FNP
3806 RIVERSIDE DR
CHINO, CA 91710-3066
Phone number: 909-525-8868
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