Individual
MS. ASHLEY NICOLE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
34800 BOB WILSON DR, BLDG 6 MEDICAL STAFF SERVICES, SAN DIEGO, CA 92134-1098
(619) 532-8038
Mailing address
3388 DALEY CENTER DR, APT 315, SAN DIEGO, CA 92123-4742
(815) 953-0776
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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