Search › California › 101YA0400X
Bryan Clarke, RADT
NPI 1740844240 · on the registry since 2019
Practice
- Address
- 3125 Mchenry Ave Ste D
Modesto, CA 95350 - Phone
- (209) 523-6900
- Organisation at this address
- Keeney Enterprises
Adolescence'S Last ResortInferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-04-30
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