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Callandra Clark

NPI 1023151594 · on the registry since 2007

Practice

Address
20420 Victory Ct
Santa Clarita, CA 91350
Phone
(661) 252-8987
Fax
(661) 252-8987

Registry record

Primary taxonomy
367A00000X
367A00000X
Also registered as
163W00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-03-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California