Individual
STEPHANIE JANE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1001 PORTRERO AVE, SAN FRANCISCO, CA 94110-3518
(628) 206-8412
Mailing address
1001 PORTRERO AVE, SAN FRANCISCO, CA 94110-3518
(628) 206-8412
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
465035
CA
Other
Enumeration date
10/08/2025
Last updated
10/08/2025
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