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Individual

ASHLEY LYNN CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
18370 BURBANK BLVD STE 204, TARZANA, CA 91356-2851
(818) 345-7792
(818) 345-9052
Mailing address
7629 MINSTREL AVE, WEST HILLS, CA 91304-4522
(818) 307-4216

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
CA

Other

Enumeration date
05/08/2022
Last updated
05/08/2022
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