Individual
CHRISTOPHER BERNARD CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
8971 EUREKA GROVE CIR, GRANITE BAY, CA 95746-6165
(229) 291-4618
Mailing address
8971 EUREKA GROVE CIR, GRANITE BAY, CA 95746-6165
(229) 291-4618
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
551225
CA
Other
Enumeration date
03/28/2025
Last updated
03/28/2025
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