Individual
MS. CHRISTINA MACDONALD FRASER CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN.FNP
Contact information
Practice address
330 ELLIS ST, GLIDE HEALTH SERVICES, SAN FRANCISCO, CA 94102-2735
(415) 674-6130
(415) 673-1037
Mailing address
509 TAMALPAIS DR, MILL VALLEY, CA 94941-2659
(415) 381-4735
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
C367540
CA
Other
Enumeration date
03/02/2007
Last updated
05/04/2012
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