Individual
CALLANDRA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20420 VICTORY CT, SANTA CLARITA, CA 91350-8531
(661) 252-8987
(661) 252-8987
Mailing address
20420 VICTORY CT, SANTA CLARITA, CA 91350-8531
(661) 252-8987
(661) 252-8987
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
669232
CA
367A00000X
Advanced Practice Midwife
Primary
1713
CA
Other
Enumeration date
02/15/2007
Last updated
03/07/2023
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