Individual
ASHLEY T CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3851 ROSECRANS ST, SAN DIEGO, CA 92110-3115
(619) 692-8033
Mailing address
3851 ROSECRANS ST, SAN DIEGO, CA 92110-3115
(619) 692-8033
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
48823
CA
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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