person
Christina Marie Clack, PNP(C)
Pediatric Nurse Practitioner in Los Angeles, California
NPI 1699365601

Christina Marie Clack is a Pediatric Nurse Practitioner based in Thousand Oaks, CA and is specialized in Pediatrics. Christina Marie Clack practices in Los Angeles, CA and has the professional credentials of PNP(C). The NPI Number for Christina Marie Clack is 1699365601 and holds a License No. 95015295 (California).

The current practice location address for Christina Marie Clack is 808 W 58Th St, Los Angeles, CA and can be reached out via phone at 323-541-1600.

Location: 808 W 58Th St, Los Angeles, CA, 91360-6433
person
Provider Profile Details
NPI Number
1699365601
Provider Name
Christina Marie Clack
Credential
PNP(C)
Provider Entity Type
Individual
Gender
Female
Address
808 W 58Th St, Los Angeles, CA, 91360-6433
Phone Number
323-541-1600
Fax Number
Provider Enumeration Date
01/23/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
808 W 58Th St
City
State
Zip
90037-3632
Phone Number
323-541-1600
Fax Number
person
Provider Business Mailing Address Details
Address
808 W 58Th St
City
State
Zip
90037-3632
Phone Number
323-541-1600
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
95015295 (California)
Definition
Definition to come...
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