SearchCalifornia101YA0400X

Elizabeth Clark

NPI 1508061615 · on the registry since 2007

Practice

Address
780 E Gilbert St
Suite 23 & 24
San Bernardino, CA 92415
Phone
(909) 387-7458
Organisation at this address
The Stay
County Of San Bernardino
County Of San Bernardino
County Of San Bernardino
Valley Star Crt - 'The Stay'
Inferred from a shared address, not stated in the registry.
Clinicians at this address
65

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-06-16

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