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Kaitlyn A Clark
Student in an Organized Health Care Education/Training Program in San Mateo, California
NPI 1073393625

Kaitlyn A Clark is a Student in an Organized Health Care Education/Training Program based in San Mateo, CA. Kaitlyn A Clark practices in San Mateo, CA. The NPI Number for Kaitlyn A Clark is 1073393625 and holds a License No. (California).

The current practice location address for Kaitlyn A Clark is 3701 Hacienda St, San Mateo, CA and can be reached out via phone at 650-539-0340.

Location: 3701 Hacienda St, San Mateo, CA, 94403-4366
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073393625
Provider Name
Kaitlyn A Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
3701 Hacienda St, San Mateo, CA, 94403-4366
Phone Number
650-539-0340
Fax Number
Provider Enumeration Date
10/02/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3701 Hacienda St
City
San Mateo
State
California
Zip
94403-4366
Phone Number
650-539-0340
Fax Number
person
Provider Business Mailing Address Details
Address
3701 Hacienda St
City
San Mateo
State
California
Zip
94403-4366
Phone Number
650-539-0340
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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