Individual
MRS. AMELIA ROSE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
437 S. HIGHWAY 101 SUITE 217, SOLANA BEACH, CA 92075
(858) 792-7546
Mailing address
3871 VALLE DEL SOL, BONSALL, CA 92003
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/10/2017
Last updated
10/10/2017
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