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Kristianna Clark, PPS

NPI 1386553758 · on the registry since 2026

Practice

Address
10376 Baldy Mesa Rd
Phelan, CA 92371
Phone
(760) 868-2500

Registry record

Primary taxonomy
101YS0200X
101YS0200X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-09-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California