Individual
LEE ANN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
15305 WALLER RD E, TACOMA, WA 98446-1533
(253) 683-8768
Mailing address
506 296TH ST E, ROY, WA 98580-7648
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN00137963
WA
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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