Individual
TAMMY PLESHETTE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7728 KENNETT CT, FREDERICKSBURG, VA 22407-2055
(703) 505-8196
Mailing address
7728 KENNETT CT, FREDERICKSBURG, VA 22407-2055
(703) 505-8196
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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