AMY R CLARK

SAN DIEGO, CA
NPI1942942792
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA  95020628)
Enumeration Date2022-04-12
Last Update Date2022-04-12
Business Address
AMY R CLARK
11878 AVENUE OF INDUSTRY
SAN DIEGO, CA 92128-3423
Phone number: 858-487-3200
Mailing Address
AMY R CLARK
1843 HISTORIC DECATUR RD
SAN DIEGO, CA 92106-6412
Phone number: 425-971-6686