Individual
REAGAN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AA
Contact information
Practice address
300 S PARK AVE STE 750, POMONA, CA 91766-1553
(909) 326-0337
Mailing address
27224 WOODGLEN LN, MORENO VALLEY, CA 92555-4534
(951) 488-4819
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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