Individual
JUDSON CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 HOSPITAL DR BLDG 3, MOUNTAIN VIEW, CA 94040-4106
(650) 863-9000
Mailing address
14245 W PARK AVE, BOULDER CREEK, CA 95006-9304
(408) 571-8439
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
769882
CA
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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