Individual
MS. CHRISTINA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-5000
Mailing address
224 SANTA BARBARA BLVD, SUITE 205, CAPE CORAL, FL 33991-2038
(239) 424-1449
(239) 424-1421
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
9107712
FL
363A00000X
Physician Assistant
Primary
C0005308
MD
Other
Enumeration date
01/30/2014
Last updated
05/30/2023
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