Individual
ANN M CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1760 S PACIFIC COAST HWY, REDONDO BEACH, CA 90277-5902
(310) 540-2970
Mailing address
1908 ROCKEFELLER LN, #A, REDONDO BEACH, CA 90278-3506
(310) 798-9255
(310) 798-9255
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11622T
CA
Other
Enumeration date
12/22/2006
Last updated
07/08/2007
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