Individual
CAMILLE AMANDA CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2740 S ELM AVE, FRESNO, CA 93706-5435
(559) 457-5200
Mailing address
2740 S ELM AVE, FRESNO, CA 93706-5435
(559) 457-5200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
251892
MA
207R00000X
Internal Medicine Physician
Primary
A146161
CA
207R00000X
Internal Medicine Physician
D0088541
MD
Other
Enumeration date
06/07/2012
Last updated
11/30/2022
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