Individual
MELISSA SUE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2222 EAST ST STE 305, CONCORD, CA 94520-2066
(925) 686-1230
Mailing address
2222 EAST ST STE 305, CONCORD, CA 94520-2066
(925) 686-1230
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
95007947
CA
Other
Enumeration date
10/25/2017
Last updated
12/19/2018
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