Jason Robert Clark
Jason Robert Clark is a Student in an Organized Health Care Education/Training Program in Alameda, California. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
1080 Marina Village PkwyAlameda, CA 94501-6427
Phone: (510) 418-5094
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1386529907 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 11, 2025 |
| Last updated in NPPES | August 11, 2025 |
| Certification date | August 7, 2025 |
| Mailing address | 29166 Woodbine Ln, [email protected], Menifee, CA 92584-9258 |
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