Kaitlyn A Clark
Kaitlyn A Clark is a Student in an Organized Health Care Education/Training Program in San Mateo, California. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
3701 Hacienda StSan Mateo, CA 94403-4366
Phone: (650) 539-0340
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1073393625 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 2, 2023 |
| Last updated in NPPES | October 2, 2023 |
| Certification date | October 2, 2023 |
| Mailing address | 3701 Hacienda St, San Mateo, CA 94403-4366 |
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