Individual
JESSICA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2610 W M CT, LINCOLN, NE 68522-1006
(402) 302-9115
Mailing address
PO BOX 39, HALLAM, NE 68368-0039
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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