Individual
MARIE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NREMT
Contact information
Practice address
97 W PINE ST, ATLANTA, ID 83716-5032
(206) 396-7437
Mailing address
65 W CHINA BASIN RD, ATLANTA, ID 83716-5024
(206) 396-7437
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
8342-4482-1318
ID
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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