Zoanne A Clack M.D.

NPI 1174582399 - Specialist - 174400000X

NPI Details
NPI 1174582399
Gender Female
Enumeration Date 03/17/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
309 W BEVERLY BLVD
MONTEBELLO CA, 90640-4308, US
Phone (323) 726-1222
Fax (818) 587-2493
Business Location
PO BOX 4419
WOODLAND HILLS CA, 91365-4419, US
Phone (818) 340-9988
Fax (818) 587-2493
Toxanomy
Taxonomy Code 174400000X
License State California
License Number A72372
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According to our database, Dr. Zoanne A Clack M.D. NPI is 1174582399, taxonomy code is 174400000X and license number is A72372, license state is located at California. Zoanne A Clack M.D. physically located at 309 W Beverly Blvd, Montebello CA, 90640-4308. NPI Number Zoanne A Clack M.D. has the Individual type.

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1174582399 NPI number is provided on an as is basis without warranty of any kind. 1174582399 is maintained by the National Plan & Provider Enumeration System. The contents of Zoanne A Clack M.D. are for informational purposes only.