Individual
CASSANDRA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1131 SAN FELIPE RD, HOLLISTER, CA 95023-2800
(831) 636-4020
Mailing address
1131 SAN FELIPE RD, HOLLISTER, CA 95023-2800
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95049419
CA
Other
Enumeration date
06/21/2015
Last updated
08/11/2016
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