SearchCalifornia101YA0400X

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 Resort
Inferred 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