Individual
MRS. BRITTANI JOLAI CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
1172 N MACLAY AVE, SAN FERNANDO, CA 91340-1328
(818) 898-1388
(818) 270-9590
Mailing address
28847 W HILLS DR, VALENCIA, CA 91354-3055
(951) 283-7146
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95004797
CA
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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