Individual
ANGELA ROSE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
335 KATHERINE AVE, SALINAS, CA 93901-3176
(831) 771-0903
Mailing address
335 KATHERINE AVE, SALINAS, CA 93901-3176
(837) 751-6222
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
19480
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ15686Z
MEDICARE GROUP
CA
Enumeration date
02/25/2010
Last updated
05/06/2013
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