Individual
PAMELA ELIZABETH CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, ATC
Contact information
Practice address
7500 CHAMINADE AVE, WEST HILLS, CA 91304-5384
(805) 813-2577
Mailing address
6367 MARSHA AVE, SIMI VALLEY, CA 93063-4446
(805) 813-2577
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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