Individual
AMY J. CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
731 18TH AVE, SAN FRANCISCO, CA 94121-3824
(415) 254-5349
Mailing address
731 18TH AVE, SAN FRANCISCO, CA 94121-3824
(415) 254-5349
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
520681
CA
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
11270710
CA
Other
Enumeration date
11/16/2012
Last updated
11/16/2012
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