Individual
CAITLIN CLARK YESETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
10239 RUSSETT AVE, SUNLAND, CA 91040-1823
(818) 259-2325
Mailing address
10239 RUSSETT AVE, SUNLAND, CA 91040-1823
(818) 259-2325
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
73773
CA
390200000X
Student in an Organized Health Care Education/Training Program
INT31227
CA
390200000X
Student in an Organized Health Care Education/Training Program
PSI28442
FL
Other
Enumeration date
07/08/2014
Last updated
11/23/2021
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