Search › California › 225XG0600X
Brian Clark
NPI 1437548062 · on the registry since 2015 · sole proprietor
Practice
- Address
- 4718 Tenbury Ln
Rocklin, CA 95677 - Phone
- (916) 214-9597
Registry record
- Primary taxonomy
- 225XG0600X
225XG0600X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-01-20
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