Individual
MS. JENNIFER MAKIKI CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, CHES
Contact information
Practice address
5858 WILSHIRE BLVD STE 300, LOS ANGELES, CA 90036-4509
(323) 935-8050
Mailing address
601 S CLOVERDALE AVE APT 206, LOS ANGELES, CA 90036-4132
(714) 852-7553
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
18262
CA
Other
Enumeration date
02/27/2012
Last updated
02/27/2012
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