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Anthony Clark

NPI 1962537142 · on the registry since 2007 · sole proprietor

Practice

Address
7445 Hellman Ave
Rancho Cucamonga, CA 91730
Phone
(909) 466-0518

Registry record

Primary taxonomy
225400000X
225400000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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