Individual
ALICE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
888 KATHERINE RD, SIMI VALLEY, CA 93063-4701
(818) 932-9906
Mailing address
888 KATHERINE RD, SIMI VALLEY, CA 93063-4701
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-16590
CA
374J00000X
Doula
—
CA
Other
Enumeration date
10/28/2011
Last updated
10/20/2025
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