Kaitlyn A Clark

NPI #1073393625 in San Mateo, California

Provider Information

NPI Number: 1073393625
Entity Type: Individual
Name: Kaitlyn A Clark
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Oct 2, 2023
Last Updated: Oct 2, 2023

Practice Location

Address: 3701 HACIENDA ST
City: San Mateo
State: California
ZIP Code: 94403-4366
Phone: (650) 539-0340

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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