person
Mariam Clark, NP
Family Nurse Practitioner in Los Angeles, California
NPI 1619370194

Mariam Clark is a Family Nurse Practitioner based in Chino, CA and is specialized in Family. Mariam Clark practices in Los Angeles, CA and has the professional credentials of NP. The NPI Number for Mariam Clark is 1619370194 and holds a License No. F0714462 (California).

The current practice location address for Mariam Clark is 3612 1/2 E 1St St, Los Angeles, CA and can be reached out via phone at 323-264-7796.

Location: 3612 1/2 E 1St St, Los Angeles, CA, 91710-7376
person
Provider Profile Details
NPI Number
1619370194
Provider Name
Mariam Clark
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
3612 1/2 E 1St St, Los Angeles, CA, 91710-7376
Phone Number
323-264-7796
Fax Number
Provider Enumeration Date
09/29/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3612 1/2 E 1St St
City
State
Zip
90063-2326
Phone Number
323-264-7796
Fax Number
person
Provider Business Mailing Address Details
Address
3612 1/2 E 1St St
City
State
Zip
90063-2326
Phone Number
323-264-7796
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
F0714462 (California)
Definition
Definition to come...
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