Individual
MARY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
795 EL CAMINO REAL, PALO ALTO, CA 94301
(650) 853-2952
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
80890
TX
231H00000X
Audiologist
Primary
AUD3389
CA
Other
Enumeration date
11/29/2016
Last updated
02/20/2020
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