Individual
DAWN MICHELLE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA,MSN
Contact information
Practice address
1425 S MAIN ST, WALNUT CREEK, CA 94596-5318
(925) 295-4665
Mailing address
1425 S MAIN ST, WALNUT CREEK, CA 94596-5318
(925) 295-4665
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
418756
CA
Other
Enumeration date
01/08/2007
Last updated
02/11/2022
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