Individual
JENNIFER MARIE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NP (MSN)
Contact information
Practice address
19601 MARINER AVE, TORRANCE, CA 90503-1647
(310) 371-0813
Mailing address
19601 MARINER AVE, TORRANCE, CA 90503-1647
(310) 371-0813
(310) 673-1418
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NP 17909
CA
Other
Enumeration date
11/05/2008
Last updated
01/15/2013
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