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Barbara Latrease Clark, PA-C
Medical Physician Assistant in Los Angeles, California
NPI 1285819318

Barbara Latrease Clark is a Medical Physician Assistant based in Los Angeles, CA and is specialized in Medical. Barbara Latrease Clark practices in Los Angeles, CA and has the professional credentials of PA-C. The NPI Number for Barbara Latrease Clark is 1285819318 and holds a License No. PA19103 (California).

The current practice location address for Barbara Latrease Clark is 2401 Ridgeley, Los Angeles, CA and can be reached out via phone at 323-932-9646 and via fax at 323-932-9646.

Location: 2401 Ridgeley, Los Angeles, CA, 90016
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Provider Profile Details
NPI Number
1285819318
Provider Name
Barbara Latrease Clark
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2401 Ridgeley, Los Angeles, CA, 90016
Phone Number
323-932-9646
Fax Number
323-932-9646
Provider Enumeration Date
01/08/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA19103 01 CA MEDICAL BOARD OF CA
institution
Provider Business Practice Location Address Details
Address
2401 Ridgeley
City
State
Zip
90016
Phone Number
323-932-9646
Fax Number
323-932-9646
person
Provider Business Mailing Address Details
Address
2401 Ridgeley
City
State
Zip
90016
Phone Number
323-932-9646
Fax Number
323-932-9646
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA19103 (California)
Definition
Definition to come...
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