Individual
BRIAN LARENCE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HEALTH WORKER
Contact information
Practice address
1076 HOWARD ST, SAN FRANCISCO, CA 94103-2820
(415) 412-7740
(628) 217-7868
Mailing address
1076 HOWARD ST, SAN FRANCISCO, CA 94103-2820
(415) 412-7740
(628) 217-7868
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
CA
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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