Madison Mimi Clark
Madison Mimi Clark is a Rehabilitation Practitioner in Fullerton, California. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
801 E Chapman Ave #203Fullerton, CA 92831-3839
Phone: (714) 680-9000
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Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X |
|---|
Record details
| NPI number | 1295478501 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 14, 2022 |
| Last updated in NPPES | April 14, 2022 |
| Certification date | April 14, 2022 |
| Mailing address | Po Box 919, Fullerton, CA 92836-0919 |
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Onofre Castro
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Meredith Cuevas
801 E Chapman Ave Ste 203, Fullerton, CA 92831-3846 · (714) 680-9073
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100 E Valley View Dr, Fullerton, CA 92832-1321 · (714) 680-8214