Individual
KLARISSA ANN CLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18 S 1ST E, REXBURG, ID 83440-1902
(208) 656-4484
Mailing address
221 E ELM ST, SHELLEY, ID 83274-1314
(208) 206-6063
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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