Individual
ISHA A CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1300 CRANE ST, MENLO PARK, CA 94025-4260
(650) 498-6500
Mailing address
1300 CRANE ST, MENLO PARK, CA 94025-4260
(650) 498-6500
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
154050
MA
Other
Enumeration date
05/02/2006
Last updated
10/31/2013
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