Tatianna Clark
NPI #1104692144 in Riverside, California
Provider Information
- NPI Number
- 1104692144
- Entity Type
- Individual
- Name
- Tatianna Clark
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant - Medical
- Enumeration Date
- Nov 30, 2023
- Last Updated
- Nov 30, 2023
Practice Location
- Address
- 3940 POLK ST UNIT A
- City
- Riverside
- State
- California
- ZIP Code
- 92505-1998
- Phone
- (818) 632-4265
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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