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Individual

DR. JUANETTE G CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
27168 NEWPORT RD, SUITE 1, MENIFEE, CA 92584-7383
(951) 246-3033
(951) 246-7373
Mailing address
683 LOMAS SANTA FE DR, SOLANA BEACH, CA 92075-1412
(858) 755-6697

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95002760
CA

Other

Enumeration date
04/18/2017
Last updated
08/04/2020
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