Individual
DR. KATHERINE MARIE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
915 W 25TH ST, UPLAND, CA 91784-1007
(910) 991-5098
Mailing address
915 W 25TH ST, UPLAND, CA 91784-1007
(910) 991-5098
Taxonomy
Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
Primary
37181
CA
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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