Jason Robert Clark

NPI #1386529907 in Alameda, California

Provider Information

NPI Number: 1386529907
Entity Type: Individual
Name: Jason Robert Clark
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Aug 11, 2025
Last Updated: Aug 11, 2025

Practice Location

Address: 1080 MARINA VILLAGE PKWY
City: Alameda
State: California
ZIP Code: 94501-6427
Phone: (510) 418-5094

Specialties & Taxonomy Codes

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

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