Individual provider · Type 1 NPI
Antonia Malia Clark
Community Health Registered Nurse · San Diego, CA
NPI number
1285322016
Active
Practice location
7901 Frost St
San Diego, CA 92123-2701
Mailing address
285 Manzanita Dr
Oceanside, CA 92057-5405
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Registered Nurse Primary | 163WC1500X | 95191828 (CA) |
Community Health Registered Nurse: Definition to come...
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About NPI 1285322016
Antonia Malia Clark's National Provider Identifier is 1285322016, issued on Apr 28, 2023. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in San Diego, CA. The record was last updated on Apr 28, 2023.