Individual
JULIANNA FRANCES CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
234 N SAN PEDRO RD, SAN RAFAEL, CA 94903-2858
(415) 479-3450
Mailing address
1135 GRAND AVE APT 1, SAN RAFAEL, CA 94901-3475
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13878
CA
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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