Individual
NATASHA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1060 LINCOLN AVE STE 20, SUITE 20 #1188, SAN JOSE, CA 95125-3110
(408) 800-6189
Mailing address
1060 LINCOLN AVE STE 20, SUITE 20 #1188, SAN JOSE, CA 95125-3110
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
95173843
CA
Other
Enumeration date
07/04/2025
Last updated
07/04/2025
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